ICD Code M67.342

ICD code M67342 is used to identify a medical condition known as transient synovitis affecting the left hand. Transient synovitis is a temporary inflammation of the synovium, which is the lining of the joint. This condition can cause pain, swelling, and limited movement in the affected hand. It is often seen in children but can occur in adults as well. The "M" in the code indicates that it pertains to musculoskeletal and connective tissue disorders, while the specific numbers and letters following it provide detailed information about the location and nature of the condition.

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

1. Patient History
- Recent history of trauma or injury to the left hand.
- Previous episodes of joint pain or swelling.

2. Clinical Symptoms
- Swelling in the left hand or wrist.
- Pain localized to the left hand, particularly in the joints.
- Reduced range of motion in the affected joints.

3. Physical Examination Findings
- Tenderness upon palpation of the left hand joints.
- Warmth or redness over the affected area.
- Joint effusion observed during examination.

4. Imaging Studies
- X-rays showing no significant bony abnormalities.
- MRI or ultrasound indicating fluid accumulation in the joint space.

5. Laboratory Tests
- Elevated inflammatory markers (e.g., ESR, CRP) indicating inflammation.
- Negative results for infectious agents (e.g., cultures, specific tests for septic arthritis).

6. Response to Treatment
- Improvement of symptoms with conservative management (e.g., rest, ice, NSAIDs).
- Persistence of symptoms despite initial treatment efforts may warrant further investigation.

7. Differential Diagnosis
- Exclusion of other conditions such as septic arthritis, rheumatoid arthritis, or gout through clinical evaluation and testing.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for transient synovitis of the left hand.

For the ICD code M67.342, which refers to transient synovitis of the left hand, the relevant CPT codes that may be applicable for treatment include:

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

2. 20604 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting.

3. 99201-99215 - Evaluation and Management (E/M) codes for office or other outpatient visits, depending on the complexity and time spent with the patient.

4. 97035 - Application of a modality to one or more areas; ultrasound, each 15 minutes.

5. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

These CPT codes are commonly used in the management and treatment of conditions related to joint issues in the hand, such as transient synovitis. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient's visit.

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