ICD Code M67.211

ICD code M67.211 is used to identify a medical condition known as synovial hypertrophy, not elsewhere classified, specifically affecting the right shoulder. Synovial hypertrophy refers to the abnormal enlargement or thickening of the synovial membrane, which is the lining of the joint. This condition can lead to joint pain, swelling, and reduced mobility. The "not elsewhere classified" part of the code indicates that this particular diagnosis does not fit into other more specific categories of synovial disorders. This code is crucial for healthcare providers to accurately document and communicate the patient's condition for treatment planning and insurance billing purposes.

When to use the ICD code for synovial hypertrophy, not elsewhere classified, right shoulder:

1. Presence of Synovial Hypertrophy
- Documented swelling or thickening of the synovial membrane in the right shoulder.

2. Pain in the Right Shoulder
- Patient reports localized pain or discomfort in the right shoulder joint.

3. Limited Range of Motion
- Observed or reported difficulty in moving the right shoulder through its full range of motion.

4. Joint Stiffness
- Patient experiences stiffness in the right shoulder, particularly after periods of inactivity.

5. Swelling or Edema
- Physical examination reveals swelling or edema around the right shoulder joint.

6. Inflammatory Symptoms
- Presence of symptoms such as warmth, redness, or tenderness in the right shoulder area.

7. Exclusion of Other Diagnoses
- Other potential causes of shoulder pain and swelling have been ruled out through diagnostic imaging or clinical evaluation.

8. Chronic or Recurrent Symptoms
- Symptoms have been persistent or recurrent over a specified duration, indicating a chronic condition.

9. Impact on Daily Activities
- The condition affects the patient's ability to perform daily activities or occupational tasks involving the right shoulder.

10. Response to Previous Treatments
- Documented lack of improvement or response to conservative treatments, such as physical therapy or anti-inflammatory medications.

For the ICD code M67.211, which pertains to synovial hypertrophy, not elsewhere classified, right shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

2. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

3. 29807 - Arthroscopy, shoulder, surgical; repair of a superior labral anterior posterior (SLAP) lesion.

4. 29826 - Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release.

5. 29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair.

6. 29828 - Arthroscopy, shoulder, surgical; biceps tenodesis.

These CPT codes are commonly associated with procedures that may be performed to address conditions related to synovial hypertrophy in the shoulder. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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