ICD Code M67.339

ICD code M67339 is used to identify a medical condition known as transient synovitis affecting an unspecified wrist. Transient synovitis is a temporary inflammation of the synovial membrane, which is the lining of the joint. This condition can cause pain and swelling in the affected wrist, but it is typically self-limiting and resolves without long-term effects. The term "unspecified wrist" indicates that the documentation does not specify whether the right or left wrist is affected. This code is utilized in healthcare settings for accurate diagnosis, treatment planning, and billing purposes.

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

1. Presence of Joint Pain: The patient reports pain in the wrist joint, which may vary in intensity.

2. Swelling of the Wrist: Observable swelling or inflammation around the wrist joint is noted during the physical examination.

3. Limited Range of Motion: The patient exhibits restricted movement in the wrist, affecting daily activities.

4. Recent History of Trauma: There may be a recent history of minor trauma or injury to the wrist, although not severe enough to cause fractures.

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 wrist pain and swelling, such as fractures, infections, or chronic inflammatory conditions, have been ruled out through clinical evaluation and imaging studies.

7. Symptom Duration: Symptoms have been present for a short duration, usually less than a few weeks, indicating a transient condition.

8. Response to Conservative Treatment: The patient shows improvement with conservative management, such as rest, ice, and anti-inflammatory medications.

These criteria help healthcare providers determine the appropriate use of the ICD code for accurate documentation and billing purposes.

For the ICD code M67.339, which pertains to transient synovitis of an unspecified wrist, the relevant CPT codes that may be applicable for treatment or management include:

1. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

2. 20605 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

3. 20606 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); with ultrasound guidance, with permanent recording and reporting.

4. 73085 - Radiologic examination, wrist; complete, minimum of three views.

5. 73100 - Radiologic examination, wrist; two views.

6. 99201-99215 - Evaluation and management codes for office or other outpatient visits, depending on the level of service provided.

These CPT codes are examples of procedures that might be used in the diagnosis or treatment of conditions related to transient synovitis of the wrist. It's important for healthcare providers to select the most appropriate CPT code based on the specific services rendered and the clinical scenario.

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