ICD Code M67.271

ICD code M67.271 is used to identify a medical condition characterized by synovial hypertrophy, which is an abnormal enlargement of the synovial membrane, specifically in the right ankle and foot. This condition is not classified under any other specific category, indicating that it is a unique or less common presentation of synovial hypertrophy. The synovial membrane is a soft tissue that lines the spaces of diarthrodial joints, tendon sheaths, and bursae, and its hypertrophy can lead to joint pain, swelling, and reduced mobility. This code is utilized by healthcare providers for accurate documentation and billing purposes, ensuring that the specific nature of the condition is clearly communicated for treatment and reimbursement processes.

When to use the ICD code for synovial hypertrophy, not elsewhere classified, right ankle and foot:

1. Presence of Synovial Hypertrophy
- Observable swelling or thickening of the synovial membrane in the right ankle and foot.

2. Localized Symptoms
- Pain or discomfort in the right ankle and foot area.
- Stiffness or reduced range of motion in the right ankle and foot.

3. Duration of Symptoms
- Symptoms persisting for a significant period, typically longer than a few weeks.

4. Exclusion of Other Conditions
- No evidence of other specific diagnoses that would explain the synovial hypertrophy, such as rheumatoid arthritis or gout.

5. Imaging Findings
- Radiological evidence (e.g., MRI or ultrasound) indicating synovial thickening without other identifiable pathologies.

6. Clinical Examination
- Physical examination revealing tenderness, warmth, or swelling localized to the right ankle and foot.

7. Response to Treatment
- Lack of improvement with conservative treatment measures, indicating a need for further evaluation or intervention.

8. Patient History
- Relevant medical history that may contribute to the condition, such as previous joint injuries or inflammatory conditions.

9. Functional Impact
- Notable impact on daily activities or mobility due to the symptoms in the right ankle and foot.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M67.271, which pertains to synovial hypertrophy of the right ankle and foot, 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. 29891 - Arthroscopy, ankle, surgical; with removal of loose body or foreign body.

4. 29898 - Arthroscopy, ankle, surgical; with synovectomy, partial.

5. 29899 - Unlisted procedure, arthroscopy.

These CPT codes are examples of procedures that may be performed to address synovial hypertrophy in the right ankle and foot. It's important for healthcare providers to select the most appropriate code based on the specific procedure performed and the clinical scenario. Always ensure that the chosen CPT code accurately reflects the services provided to ensure proper billing and reimbursement.

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