ICD Code M67.29

ICD code M6729 is used to identify a medical condition known as synovial hypertrophy, which is not classified elsewhere and occurs in multiple sites. Synovial hypertrophy refers to the abnormal thickening of the synovial membrane, which lines the joints. This condition can lead to joint pain, swelling, and stiffness, affecting multiple joints simultaneously. The code M6729 helps healthcare providers accurately document and communicate this specific diagnosis for effective treatment planning and billing purposes.

When to use the ICD code M6729 (Synovial hypertrophy, not elsewhere classified, multiple sites):

1. Presence of Synovial Hypertrophy
- Documented swelling or thickening of the synovial membrane in multiple joints.

2. Multiple Affected Sites
- Evidence of synovial hypertrophy in more than one joint or synovial structure.

3. Absence of Specific Diagnosis
- No specific diagnosis that categorizes the synovial hypertrophy under a more defined ICD code.

4. Associated Symptoms
- Joint pain or discomfort in the affected areas.
- Stiffness or reduced range of motion in the joints.
- Swelling or tenderness in the joints.

5. Diagnostic Imaging Findings
- Imaging studies (e.g., MRI, ultrasound) indicating synovial thickening or effusion in multiple joints.

6. Exclusion of Other Conditions
- Ruling out other conditions that may cause similar symptoms or findings, such as inflammatory arthritis or trauma.

7. Clinical Evaluation
- Comprehensive clinical assessment confirming the diagnosis of synovial hypertrophy without a more specific classification.

8. Duration of Symptoms
- Symptoms persisting for a significant duration, indicating a chronic condition rather than an acute process.

By adhering to these diagnostic criteria, healthcare providers can accurately determine when to utilize the ICD code M6729 in their documentation and billing processes.

For the ICD code M6729, which pertains to synovial hypertrophy not elsewhere classified at multiple sites, the relevant CPT codes that may be applicable for treatment could 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.

3. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

4. 29807 - Arthroscopy, shoulder, surgical; repair of a superior labral anterior/posterior (SLAP) lesion.

5. 29881 - Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving).

6. 29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction.

7. 29894 - Arthroscopy, wrist, surgical; with synovectomy, partial.

8. 29895 - Arthroscopy, hip, surgical; with synovectomy.

These CPT codes are examples of procedures that might be performed to address conditions related to synovial hypertrophy at multiple sites. It is important for healthcare providers to select the most appropriate CPT code based on the specific procedure performed and the clinical scenario.

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