ICD code M66151 is used to identify a rupture of the synovium in the right hip, aiding in the classification and tracking of this specific medical condition.
ICD code M66.151 is used to classify a medical diagnosis of a rupture of the synovium in the right hip. 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 in the hip joint. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions for billing and record-keeping purposes.
When to use the ICD code for Rupture of synovium, right hip:
1. Clinical Diagnosis: A healthcare provider has made a clinical diagnosis of a rupture of the synovium in the right hip based on patient evaluation.
2. Patient Symptoms:
- Acute pain in the right hip joint.
- Swelling or inflammation around the hip area.
- Limited range of motion in the right hip.
- Tenderness upon palpation of the hip joint.
- Possible bruising or discoloration around the hip.
3. Imaging Studies: Radiological imaging (such as MRI or ultrasound) indicates the presence of a rupture in the synovial tissue of the right hip.
4. History of Trauma: The patient has a documented history of trauma or injury to the hip that may have contributed to the rupture.
5. Exclusion of Other Conditions: Other potential causes of hip pain and swelling (such as fractures, infections, or other joint disorders) have been ruled out through clinical assessment and diagnostic testing.
6. Treatment Plan: A treatment plan has been established that specifically addresses the rupture of the synovium, which may include surgical intervention, physical therapy, or medication management.
7. Follow-Up Documentation: There is appropriate documentation in the patient's medical record that supports the diagnosis and the rationale for using the specific ICD code.
For the ICD code M66.151, which pertains to a rupture of synovium in the right hip, the relevant CPT codes that may be applicable for treatment include:
1. 29862 - Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty).
2. 29863 - Arthroscopy, hip, surgical; with synovectomy.
3. 27033 - Arthrotomy, hip, with biopsy.
4. 27036 - Arthrotomy, hip, with synovectomy.
5. 27130 - Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft.
These CPT codes are commonly associated with procedures that might be performed to address issues related to the rupture of synovium in the hip. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M66151. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.

