ICD Code M67.251

ICD code M67.251 is used to classify a medical condition known as synovial hypertrophy, specifically affecting the right thigh. 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. The code indicates that this particular instance of synovial hypertrophy is not classified under any other specific category, and it is localized to the right thigh, providing healthcare providers with a precise way to document and communicate this diagnosis for treatment and billing purposes.

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

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

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

3. Limited Range of Motion
- Observed or reported difficulty in moving the right thigh joint fully.

4. Swelling or Edema
- Physical examination reveals noticeable swelling in the area surrounding the right thigh joint.

5. Inflammatory Symptoms
- Signs of inflammation such as warmth, redness, or tenderness in the right thigh joint.

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

7. Chronic or Recurrent Symptoms
- Symptoms have persisted over a significant period or have recurred multiple times.

8. Imaging or Diagnostic Evidence
- Imaging studies (e.g., MRI, ultrasound) indicate the presence of synovial hypertrophy in the right thigh.

9. Response to Treatment
- Patient's symptoms may show improvement or worsening in response to specific treatments, indicating the nature of the condition.

10. Clinical Documentation
- Comprehensive clinical documentation supports the diagnosis, including patient history, physical examination findings, and any relevant laboratory results.

For the ICD code M67.251, which pertains to synovial hypertrophy, not elsewhere classified, right thigh, the relevant CPT codes that may be applicable include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder joint); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder joint); with ultrasound guidance, with permanent recording and reporting.

3. 29870 - Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure).

4. 29875 - Arthroscopy, knee, surgical; synovectomy, limited (e.g., plica or shelf resection) (separate procedure).

5. 29876 - Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral).

These CPT codes are commonly associated with procedures that might be performed to address synovial hypertrophy in the right thigh area. It's important for healthcare providers to verify the specific procedures performed and ensure accurate coding based on the services rendered.

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