ICD Code M67.249

ICD code M67249 is used to identify a medical condition known as synovial hypertrophy in an unspecified hand. 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 term "not elsewhere classified" indicates that this specific condition does not fit into other predefined categories within the ICD coding system. The use of "unspecified hand" means that the documentation does not specify whether the condition affects the left or right hand. This code is crucial for healthcare providers in documenting and billing for the diagnosis accurately.

When to use the ICD code M67249 for synovial hypertrophy, not elsewhere classified, unspecified hand, consider the following diagnostic criteria and symptoms:

1. Presence of Synovial Hypertrophy
- Observable swelling or thickening of the synovial membrane in the hand.

2. Unspecified Location
- Symptoms are not localized to a specific joint or area of the hand, indicating a generalized condition.

3. Absence of Specific Diagnosis
- No other specific ICD code applies that categorizes the condition more precisely.

4. Chronic Symptoms
- Symptoms have persisted over a significant period, indicating a chronic condition rather than an acute injury.

5. Joint Pain or Discomfort
- Patient reports pain or discomfort in the hand joints, potentially affecting mobility.

6. Limited Range of Motion
- Observations or patient reports of reduced flexibility or movement in the hand joints.

7. Inflammatory Signs
- Presence of inflammation, such as warmth, redness, or tenderness in the affected area.

8. Exclusion of Other Conditions
- Differential diagnosis has ruled out other potential causes of synovial hypertrophy, such as infections or trauma.

9. Imaging Findings
- Radiological evidence supporting the diagnosis of synovial hypertrophy without a more specific classification.

10. Patient History
- Relevant medical history that may contribute to the condition, such as previous joint issues or autoimmune disorders.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code M67249 in clinical documentation and billing processes.

For the ICD code M67249, which pertains to synovial hypertrophy of an unspecified hand, the relevant CPT codes that may be applicable for treatment include:

1. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

2. 20604 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting.

3. 29840 - Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure).

4. 29844 - Arthroscopy, wrist, surgical; synovectomy, partial.

5. 29845 - Arthroscopy, wrist, surgical; synovectomy, complete.

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