ICD Code M67.279

ICD code M67279 is used to identify a medical condition characterized by synovial hypertrophy, which is an abnormal thickening of the synovial membrane, in the ankle and foot. This code is specifically used when the synovial hypertrophy does not fall under any other classified category and is not specified to a particular location within the ankle and foot. It helps healthcare providers document and communicate this specific condition for accurate diagnosis, treatment planning, and billing purposes.

When considering the use of the ICD code for synovial hypertrophy, not elsewhere classified, unspecified ankle and foot, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Swelling in the Ankle or Foot: Persistent or recurrent swelling that is not attributed to other known conditions or injuries.

2. Pain or Discomfort: The presence of pain or discomfort in the ankle or foot that is not explained by other diagnoses.

3. Limited Range of Motion: Observed restriction in the movement of the ankle or foot, which may be due to the thickening of the synovial membrane.

4. Palpable Mass or Thickening: Detection of a palpable mass or thickening around the joint area during a physical examination.

5. Imaging Findings: Radiological evidence, such as MRI or ultrasound, showing synovial membrane thickening without other identifiable causes.

6. Exclusion of Other Conditions: Rule out other potential causes of the symptoms, such as arthritis, infection, or trauma, through clinical evaluation and diagnostic testing.

7. Chronicity of Symptoms: Symptoms that have persisted over a significant period, indicating a chronic condition rather than an acute episode.

8. Response to Treatment: Lack of significant improvement with standard treatments for common ankle or foot conditions, suggesting an atypical underlying issue.

By carefully assessing these criteria, healthcare providers can determine the appropriateness of using this specific ICD code in their documentation and billing processes.

For the ICD code M67.279, which pertains to synovial hypertrophy of the unspecified 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. 29894 - Arthroscopy, ankle, surgical; with synovectomy, partial.

5. 29895 - Arthroscopy, ankle, surgical; with synovectomy, complete.

6. 29897 - Arthroscopy, ankle, surgical; with debridement/shaving of articular cartilage (chondroplasty).

These CPT codes are examples of procedures that may be considered for addressing synovial hypertrophy in the ankle and foot, depending on the specific clinical scenario and treatment plan determined by the healthcare provider. Always consult the latest CPT coding guidelines and payer policies for accurate coding and billing practices.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M67279. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.