ICD code M67349 is used to identify transient synovitis in an unspecified hand, aiding in accurate diagnosis and treatment documentation.
ICD code M67349 is used to identify a medical condition known as transient synovitis affecting an unspecified hand. Transient synovitis is a temporary inflammation of the synovium, which is the lining of the joint. This condition can cause pain and swelling in the affected hand, leading to discomfort and limited movement. The term "unspecified hand" indicates that the documentation does not specify whether the right or left hand is affected. This code is utilized by healthcare providers for accurate diagnosis, treatment planning, and billing purposes within the healthcare revenue cycle.
When to use the ICD code for transient synovitis, unspecified hand:
1. Presence of Joint Pain
- Patient reports pain in the hand joint, particularly during movement or pressure.
2. Swelling in the Affected Area
- Observable swelling or inflammation around the hand joint.
3. Limited Range of Motion
- Difficulty or discomfort when attempting to move the hand or fingers.
4. Recent History of Trauma or Injury
- Patient has experienced a recent injury or trauma to the hand that may have contributed to the condition.
5. Age Consideration
- Typically occurs in children or adolescents, often following a viral infection.
6. Absence of Infection Indicators
- No signs of infection such as fever, redness, or warmth in the affected area.
7. Diagnostic Imaging Findings
- Imaging studies (e.g., X-rays or MRI) show joint effusion or other signs consistent with transient synovitis without evidence of other pathologies.
8. Exclusion of Other Conditions
- Differential diagnosis has ruled out other potential causes of joint pain and swelling, such as septic arthritis or rheumatoid arthritis.
9. Symptom Duration
- Symptoms are typically transient, lasting a few days to weeks, and show improvement with conservative management.
10. Response to Treatment
- Symptoms improve with rest, anti-inflammatory medications, or physical therapy, indicating a non-chronic condition.
For the ICD code M67.349, which pertains to transient synovitis of an unspecified hand, 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. 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 1 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 examples of procedures and services that may be utilized in the management of conditions associated with ICD code M67.349. 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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