ICD CODES

ICD Code M67.229

ICD code M67229 is used to identify synovial hypertrophy in an unspecified upper arm, aiding in accurate diagnosis and treatment documentation.

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What is ICD diagnosis code M67.229

ICD code M67229 is used to classify a medical condition known as synovial hypertrophy, which is not specified elsewhere and affects an unspecified upper arm. Synovial hypertrophy refers to the abnormal enlargement or thickening of the synovial membrane, which is the lining of the joints. This condition can lead to joint pain, swelling, and reduced mobility. The code is used when the specific upper arm affected is not detailed in the medical documentation, allowing healthcare providers to accurately record and bill for the diagnosis in the patient's medical records.

When to use ICD code M67.229

When to use the ICD code M67229, Synovial hypertrophy, not elsewhere classified, unspecified upper arm:

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

2. Unspecified Location
- The condition is not attributed to a specific joint or anatomical structure within the upper arm.

3. Absence of Specific Diagnosis
- The condition does not fit into other defined categories or classifications of synovial hypertrophy.

4. Symptoms of Joint Discomfort
- Patient reports pain or discomfort in the upper arm, potentially affecting mobility.

5. Limited Range of Motion
- Observed or reported difficulty in moving the upper arm due to swelling or discomfort.

6. Inflammatory Signs
- Presence of warmth, redness, or tenderness in the upper arm area, indicating inflammation.

7. Exclusion of Other Conditions
- Other potential causes of synovial hypertrophy (e.g., trauma, infection, or systemic diseases) have been ruled out through clinical evaluation.

8. Chronicity of Symptoms
- Symptoms have persisted over a defined period, indicating a chronic condition rather than an acute injury.

9. Diagnostic Imaging Findings
- Imaging studies (e.g., MRI, ultrasound) show evidence of synovial thickening without a specific underlying cause.

10. Patient History
- Relevant medical history that may contribute to the diagnosis, such as previous joint issues or autoimmune conditions, is documented.

Billable CPT codes for ICD code M67.229

For the ICD code M67229, which pertains to synovial hypertrophy of the unspecified 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. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

4. 29807 - Arthroscopy, shoulder, surgical; repair of a superior labral anterior posterior (SLAP) lesion.

5. 29819 - Arthroscopy, shoulder, surgical; with removal of loose body or foreign body.

6. 29821 - Arthroscopy, shoulder, surgical; synovectomy, partial.

7. 29822 - Arthroscopy, shoulder, surgical; debridement, limited.

8. 29823 - Arthroscopy, shoulder, surgical; debridement, extensive.

These CPT codes are commonly associated with procedures that may be performed to address conditions related to synovial hypertrophy in the upper arm. 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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