ICD CODES

ICD Code M67.30

ICD code M6730 is used to identify transient synovitis at an unspecified site, aiding in the classification and tracking of this medical condition.

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What is ICD diagnosis code M67.30

ICD code M6730 is used to classify and document the diagnosis of transient synovitis at an unspecified site. Transient synovitis is a temporary inflammation of the synovium, which is the lining of a joint. This condition often causes joint pain and swelling, typically affecting children and most commonly occurring in the hip joint. However, since the code specifies an "unspecified site," it indicates that the exact location of the synovitis within the body has not been determined or documented. This code is crucial for healthcare providers to accurately record the condition for treatment planning, billing, and statistical purposes.

When to use ICD code M67.30

When considering the use of the ICD code M6730 for transient synovitis, unspecified site, the following diagnostic criteria and symptoms should be evaluated:

1. Joint Pain: Presence of pain in the affected joint, often exacerbated by movement.

2. Swelling: Noticeable swelling around the joint, indicating inflammation.

3. Limited Range of Motion: Difficulty or discomfort when attempting to move the joint.

4. Recent Trauma: History of recent injury or trauma to the joint area, although not always present.

5. Age Factor: Typically observed in children, particularly those aged 3 to 10 years.

6. Fever: Possible low-grade fever accompanying the joint symptoms.

7. Exclusion of Other Conditions: Rule out other potential causes of joint pain and swelling, such as infection, fracture, or other inflammatory conditions.

8. Duration of Symptoms: Symptoms that are transient in nature, usually resolving within a few weeks.

9. Physical Examination Findings: Clinical findings that support synovitis, such as tenderness and warmth over the joint.

These criteria should be carefully assessed to determine the appropriate use of the ICD code.

Billable CPT codes for ICD code M67.30

For the ICD code M6730 (Transient synovitis, unspecified site), the relevant CPT codes that may be applicable for treatment or management include:

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

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

3. 99201-99205 - New patient office or other outpatient visit codes, depending on the level of service provided.

4. 99211-99215 - Established patient office or other outpatient visit codes, depending on the level of service provided.

5. 73502 - Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views.

6. 73560 - Radiologic examination, knee; 1 or 2 views.

These CPT codes are examples of procedures and services that might be utilized in the evaluation and management of a patient with transient synovitis, depending on the specific clinical scenario and the healthcare provider's judgment. Always ensure that the chosen CPT codes accurately reflect the services provided and are supported by the documentation in the patient's medical record.

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