ICD Code M66.144

ICD code M66.144 is used to classify a medical diagnosis of a rupture of the synovium in the right finger(s). The synovium is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheath. A rupture in this area can lead to pain, swelling, and impaired movement of the affected finger(s). This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), which is used by healthcare providers to document and report diseases and conditions for billing and statistical purposes.

When to use the ICD code for the specified condition:

1. Presence of Symptoms:
- Patient reports pain in the right finger(s).
- Swelling or inflammation observed in the affected area.
- Limited range of motion in the right finger(s).

2. Physical Examination Findings:
- Tenderness upon palpation of the right finger(s).
- Visible deformity or abnormal positioning of the right finger(s).
- Signs of joint effusion in the right finger(s).

3. Diagnostic Imaging:
- Radiographic evidence indicating a rupture or injury to the synovium in the right finger(s).
- MRI or ultrasound findings confirming synovial damage.

4. History of Trauma:
- Recent history of injury or trauma to the right hand or finger(s).
- Previous conditions or surgeries affecting the right finger(s) that may predispose to synovial rupture.

5. Duration of Symptoms:
- Symptoms persisting beyond a specified acute phase (e.g., more than a few days).
- Chronic symptoms indicating ongoing issues with the right finger(s).

6. Exclusion of Other Conditions:
- Differential diagnosis ruling out other potential causes of finger pain or swelling (e.g., fractures, infections, or inflammatory conditions).

7. Clinical Diagnosis:
- Confirmation of diagnosis by a qualified healthcare provider based on clinical evaluation and findings.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to utilize the appropriate ICD code for the condition.

For the ICD code M66.144, which pertains to the rupture of synovium in the right finger(s), the relevant CPT codes that may be applicable for treatment include:

1. 26055 - Incision and drainage of finger abscess; simple.

2. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

3. 26340 - Manipulation, finger joint, under anesthesia, each joint.

4. 26440 - Tenolysis, flexor tendon; palm and/or finger, each tendon.

5. 26540 - Repair of extensor tendon, finger, primary or secondary; without free graft, each tendon.

These CPT codes are examples of procedures that may be performed to address issues related to the rupture of synovium in the right finger(s). It is important for healthcare providers to select the appropriate CPT code based on the specific treatment rendered and the clinical scenario. Always ensure that the chosen CPT code accurately reflects the procedure performed to ensure proper billing and reimbursement.

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