ICD Code M67.219

ICD code M67219 is used to classify a condition known as synovial hypertrophy in an unspecified shoulder. Synovial hypertrophy refers to the abnormal enlargement or thickening of the synovial membrane, which is the lining of the joint that produces synovial fluid for lubrication. This condition can lead to joint pain, swelling, and reduced mobility. The term "not elsewhere classified" indicates that this specific type of synovial hypertrophy does not fit into other more specific categories within the ICD coding system. Additionally, "unspecified shoulder" means that the documentation does not specify whether the condition affects the left or right shoulder. This code is essential for healthcare providers to accurately document and manage the patient's condition for treatment and billing purposes.

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

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

2. Unspecified Location
- No specific anatomical location within the shoulder joint is identified for the hypertrophy.

3. Absence of Specific Diagnosis
- The condition does not fit into a more specific category or diagnosis related to synovial hypertrophy.

4. Symptoms of Joint Dysfunction
- Patient reports pain, stiffness, or reduced range of motion in the shoulder.

5. Exclusion of Other Conditions
- Other potential causes of shoulder symptoms (e.g., rotator cuff tears, arthritis) have been ruled out through clinical evaluation and imaging.

6. Chronic or Recurrent Symptoms
- Symptoms have been persistent or recurrent over a defined period, indicating a chronic condition.

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

8. Clinical Documentation
- Comprehensive documentation in the medical record supports the diagnosis of synovial hypertrophy without a more specific classification.

For the ICD code M67219, which pertains to synovial hypertrophy of an unspecified 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. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

3. 29821 - Arthroscopy, shoulder, surgical; synovectomy, partial.

4. 29822 - Arthroscopy, shoulder, surgical; debridement, limited.

5. 29823 - Arthroscopy, shoulder, surgical; debridement, extensive.

6. 29824 - Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure).

7. 29825 - Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation.

These CPT codes are examples of procedures that might be considered for addressing conditions related to synovial hypertrophy in the shoulder. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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