ICD Code M67.222

ICD code M67222 is used to identify a medical condition known as synovial hypertrophy, not elsewhere classified, specifically affecting the left 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 "not elsewhere classified" part of the code indicates that this particular condition does not fit into other more specific categories within the ICD coding system. This code is crucial for healthcare providers to accurately document and communicate the diagnosis for treatment planning and insurance billing purposes.

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

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

2. Symptoms of Joint Pain
- Patient reports pain in the left upper arm joint, particularly during movement or pressure.

3. Limited Range of Motion
- Observed or reported difficulty in moving the left upper arm joint fully.

4. Swelling or Inflammation
- Physical examination reveals noticeable swelling or signs of inflammation in the left upper arm area.

5. Exclusion of Other Conditions
- Differential diagnosis confirms that the symptoms are not attributable to other specified conditions affecting the joint or surrounding tissues.

6. Duration of Symptoms
- Symptoms have persisted for a significant period, indicating a chronic condition rather than an acute injury.

7. Imaging or Diagnostic Evidence
- Imaging studies (e.g., MRI, ultrasound) show evidence of synovial hypertrophy in the left upper arm.

8. Response to Treatment
- Patient's symptoms do not improve with standard conservative treatments, warranting further investigation and coding.

9. Associated Symptoms
- Presence of additional symptoms such as stiffness, tenderness, or warmth in the affected area.

10. Impact on Daily Activities
- Patient reports that the condition affects their ability to perform daily activities or occupational tasks involving the left upper arm.

For the ICD code M67.222, which pertains to synovial hypertrophy, not elsewhere classified, left upper arm, the relevant CPT codes that may be applicable for treatment could 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 related to synovial hypertrophy in the left upper arm. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always verify with the latest coding guidelines and payer policies.

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