ICD Code M67.221

ICD code M67221 is used to classify a medical condition known as synovial hypertrophy, specifically affecting the right upper arm. Synovial hypertrophy refers to the abnormal enlargement or thickening of the synovial membrane, which is the soft tissue lining the spaces of diarthrodial joints, tendon sheaths, and bursae. This condition can lead to joint pain, swelling, and reduced mobility in the affected area. The code M67221 is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and categorize diagnoses for billing, treatment, and statistical purposes.

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

1. Presence of Synovial Hypertrophy
- Observable swelling or thickening of the synovial membrane in the right upper arm.

2. Joint Pain
- Patient reports pain in the affected joint, which may be exacerbated by movement or pressure.

3. Limited Range of Motion
- Difficulty or discomfort when attempting to move the joint in the right upper arm.

4. Inflammation Indicators
- Signs of inflammation such as warmth, redness, or tenderness around the joint area.

5. History of Joint Issues
- Previous diagnoses or treatments related to joint conditions, particularly in the upper arm.

6. Exclusion of Other Conditions
- Differential diagnosis confirms that the symptoms are not attributable to other specific conditions affecting the joint.

7. Imaging Findings
- Radiological evidence (e.g., MRI, ultrasound) indicating synovial thickening without other identifiable causes.

8. Duration of Symptoms
- Symptoms persisting for a significant period, indicating a chronic condition rather than an acute injury.

9. Response to Treatment
- Evaluation of the patient’s response to conservative treatments (e.g., rest, ice, anti-inflammatory medications) that may suggest synovial hypertrophy.

10. Patient's Functional Impact
- Assessment of how the condition affects the patient's daily activities and overall quality of life.

For the ICD code M67.221, which pertains to synovial hypertrophy, not elsewhere classified, right upper arm, 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. 29805 - Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure).

4. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

5. 29807 - Arthroscopy, shoulder, surgical; repair of a superior labral anterior posterior (SLAP) lesion.

6. 29819 - Arthroscopy, shoulder, surgical; with removal of loose body or foreign body.

These CPT codes are examples of procedures that might be considered for addressing conditions associated with synovial hypertrophy in the right upper arm. It is important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and the procedures performed.

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