ICD code M67312 is used to classify and identify the medical condition of transient synovitis in the left shoulder for healthcare documentation.
ICD code M67.312 is used to identify the medical condition known as transient synovitis of the left shoulder. This condition is characterized by temporary inflammation of the synovial membrane, which is the lining of the joint. It typically results in pain and limited movement in the affected shoulder. The term "transient" indicates that the condition is temporary and often resolves on its own or with minimal treatment. This code is crucial for healthcare providers to accurately document and bill for the diagnosis and treatment of this specific condition in the left shoulder.
When to use the ICD code for transient synovitis of the left shoulder, consider the following diagnostic criteria and symptoms:
1. Patient History
- Recent history of trauma or injury to the shoulder.
- Previous episodes of joint pain or inflammation.
2. Clinical Symptoms
- Acute onset of pain in the left shoulder.
- Swelling or tenderness in the shoulder joint.
- Limited range of motion in the left shoulder.
- Pain exacerbated by movement or weight-bearing activities.
3. Physical Examination Findings
- Warmth and erythema over the affected joint.
- Palpable effusion in the left shoulder joint.
- Positive impingement signs during shoulder examination.
4. Imaging Studies
- Ultrasound or MRI showing joint effusion or synovial thickening.
- X-rays ruling out fractures or other bony abnormalities.
5. Laboratory Tests
- Elevated inflammatory markers (e.g., ESR, CRP) indicating inflammation.
- Joint aspiration showing clear or slightly cloudy synovial fluid without signs of infection.
6. Differential Diagnosis
- Exclusion of septic arthritis, osteoarthritis, or other inflammatory conditions.
- Confirmation that symptoms are not due to systemic diseases or other joint pathologies.
7. Response to Treatment
- Improvement of symptoms with conservative management (e.g., rest, ice, NSAIDs).
- Monitoring for recurrence or persistence of symptoms.
These criteria should guide healthcare providers in determining the appropriate use of the ICD code for transient synovitis of the left shoulder.
For the ICD code M67.312, which pertains to transient synovitis of the left shoulder, 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., 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. 97018 - Application of a modality to one or more areas; paraffin bath.
4. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).
5. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.
6. 99201-99215 - Evaluation and management services, depending on the complexity and time spent with the patient.
These CPT codes are often used in conjunction with the ICD code M67.312 for billing purposes in the treatment of conditions related to the left shoulder. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient's treatment.
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