ICD Code M67.319

ICD code M67319 is used to identify a medical condition known as transient synovitis affecting an unspecified shoulder. Transient synovitis is a temporary inflammation of the synovial membrane, which is the lining of the joint. This condition can cause pain and limited movement in the affected shoulder, but it typically resolves on its own without long-term effects. The term "unspecified shoulder" indicates that the documentation does not specify whether the right or left shoulder is affected. This code is utilized in healthcare settings for accurate diagnosis, treatment planning, and billing purposes, ensuring that healthcare providers can effectively manage and track patient care related to this condition.

When to use the ICD code for transient synovitis, unspecified shoulder:

1. Presence of Joint Pain
- Patient reports pain in the shoulder joint, which may be exacerbated by movement.

2. Swelling in the Shoulder Area
- Observable swelling or inflammation around the shoulder joint.

3. Limited Range of Motion
- Difficulty or discomfort when attempting to move the shoulder, indicating restricted mobility.

4. Recent History of Trauma or Overuse
- Patient has experienced recent trauma to the shoulder or has engaged in repetitive overhead activities.

5. Absence of Infection
- Diagnostic tests (e.g., blood tests, imaging) indicate no signs of infection in the joint.

6. Age Consideration
- Typically occurs in children or adolescents, often following a viral infection.

7. Exclusion of Other Conditions
- Other potential causes of shoulder pain (e.g., fractures, arthritis) have been ruled out through clinical evaluation and imaging studies.

8. Duration of Symptoms
- Symptoms have been present for a limited duration, often less than 4 weeks, consistent with transient synovitis.

9. Response to Conservative Treatment
- Symptoms improve with rest, ice, and non-steroidal anti-inflammatory medications (NSAIDs), indicating a transient condition.

For the ICD code M67.319, which pertains to transient synovitis of an unspecified shoulder, the relevant CPT codes that may be applicable for treatment or diagnostic procedures 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. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

4. 73221 - Magnetic resonance (e.g., proton) imaging, any joint of upper extremity; without contrast material(s).

5. 99201-99215 - Evaluation and management codes for office or other outpatient visits, depending on the complexity and time spent with the patient.

These CPT codes are commonly used for procedures and evaluations related to conditions affecting the shoulder, such as transient synovitis. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical scenario.

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