ICD CODES

ICD Code M67.252

ICD code M67252 is used to classify synovial hypertrophy in the left thigh, providing a standardized way to document this specific medical condition.

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What is ICD diagnosis code M67.252

ICD code M67.252 is used to identify a medical condition known as synovial hypertrophy, not elsewhere classified, specifically affecting the left thigh. 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 "not elsewhere classified" part of the code indicates that this particular type of synovial hypertrophy does not fit into other more specific categories within the ICD coding system. The specification of the left thigh helps healthcare providers accurately document and treat the condition in the appropriate anatomical location.

When to use ICD code M67.252

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

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

2. Symptoms of Joint Pain
- Patient reports pain in the left thigh joint, which may be exacerbated by movement or weight-bearing activities.

3. Limited Range of Motion
- Observed or reported restriction in the movement of the left thigh joint.

4. Swelling or Edema
- Physical examination reveals noticeable swelling in the left thigh area, indicating possible inflammation.

5. Joint Stiffness
- Patient experiences stiffness in the left thigh joint, particularly after periods of inactivity.

6. Diagnostic Imaging Findings
- Imaging studies (e.g., MRI, ultrasound) show evidence of synovial thickening or other related abnormalities in the left thigh.

7. Exclusion of Other Conditions
- Other potential causes of joint symptoms (e.g., trauma, infection, or other inflammatory conditions) have been ruled out through clinical evaluation and diagnostic testing.

8. Chronicity of Symptoms
- Symptoms have persisted for a significant duration, indicating a chronic condition rather than an acute injury.

9. Response to Treatment
- Evaluation of the patient's response to conservative treatments (e.g., physical therapy, anti-inflammatory medications) suggests ongoing synovial issues.

10. Patient History
- Relevant medical history that may contribute to synovial hypertrophy, such as previous joint injuries or autoimmune disorders.

Billable CPT codes for ICD code M67.252

For the ICD code M67.252, which pertains to synovial hypertrophy, not elsewhere classified, left thigh, 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., 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. 29875 - Arthroscopy, knee, surgical; synovectomy, limited (e.g., plica or shelf resection) (separate procedure).

4. 29876 - Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (separate procedure).

5. 27331 - Synovectomy, knee, open, complete.

6. 27334 - Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft).

These CPT codes are examples of procedures that might be considered for addressing synovial hypertrophy in the left thigh, depending on the specific clinical scenario and treatment plan. Always consult with a coding specialist or healthcare professional to ensure accurate coding based on the specific details of the case.

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