ICD Code M67.321

ICD code M67321 is used to identify a medical condition known as transient synovitis affecting the right elbow. Transient synovitis is a temporary inflammation of the synovial membrane, which is the lining of the joint. This condition can cause pain, swelling, and limited movement in the affected elbow. It is often seen in children and can be associated with a recent viral infection or minor trauma. The code M67321 helps healthcare providers accurately document and communicate this specific diagnosis for treatment planning and billing purposes.

When to use the ICD code for transient synovitis of the right elbow, consider the following diagnostic criteria and symptoms:

1. Acute Onset of Symptoms: The patient presents with sudden onset of pain in the right elbow.

2. Swelling and Tenderness: There is noticeable swelling and tenderness around the elbow joint.

3. Limited Range of Motion: The patient exhibits a reduced range of motion in the right elbow, particularly during flexion and extension.

4. No History of Trauma: The condition arises without a recent history of trauma or injury to the elbow.

5. Age Consideration: The patient is typically a child or adolescent, as transient synovitis is more common in this demographic.

6. Exclusion of Other Conditions: Other potential causes of elbow pain, such as fractures, septic arthritis, or other inflammatory conditions, have been ruled out through clinical evaluation and imaging studies.

7. Response to Conservative Treatment: The patient shows improvement with conservative management, such as rest, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs).

8. Duration of Symptoms: Symptoms are generally transient, lasting a few days to a few weeks, without chronic recurrence.

By adhering to these criteria, healthcare providers can accurately determine the appropriate use of the ICD code for transient synovitis of the right elbow.

For the ICD code M67.321, which refers to transient synovitis of the right elbow, 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. 99201-99205 - Office or other outpatient visit for the evaluation and management of a new patient, which may be relevant if the patient is being seen for the first time for this condition.

4. 99211-99215 - Office or other outpatient visit for the evaluation and management of an established patient, which may be relevant for follow-up visits.

5. 73080 - Radiologic examination, elbow; complete, minimum of three views, which might be used to assess the condition further.

These CPT codes are examples of procedures and services that might be used in the management and treatment of transient synovitis of the right elbow, as indicated by ICD code M67.321. Always ensure to verify with the latest coding guidelines and payer-specific policies for accurate billing.

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