ICD code M67351 is used to classify and identify the medical condition of transient synovitis in the right hip for healthcare documentation.
ICD code M67.351 is used to identify a medical condition known as transient synovitis of the right hip. This condition is characterized by temporary inflammation of the synovial membrane, which is the lining of the hip joint. It often results in pain and limited movement in the affected hip. Transient synovitis is most commonly seen in children and can be associated with a recent viral infection or minor trauma. The condition is typically self-limiting, meaning it resolves on its own with rest and symptomatic treatment. Proper documentation of this ICD code is crucial for accurate billing and ensuring that healthcare providers are reimbursed appropriately for their services.
When to use the ICD code for transient synovitis of the right hip, consider the following diagnostic criteria and symptoms:
1. Acute Onset of Hip Pain
- Sudden development of pain in the right hip joint.
2. Limited Range of Motion
- Difficulty or pain when attempting to move the right hip, particularly during internal and external rotation.
3. Swelling or Tenderness
- Noticeable swelling around the hip joint or tenderness upon palpation.
4. Limping or Altered Gait
- Observable changes in walking patterns, such as limping or favoring the affected leg.
5. Fever or Systemic Symptoms
- Presence of low-grade fever or other systemic symptoms that may accompany the hip pain.
6. Exclusion of Other Conditions
- Ruling out other potential causes of hip pain, such as septic arthritis, osteomyelitis, or fractures through imaging studies or laboratory tests.
7. Age Consideration
- Typically occurs in children, particularly those aged 3 to 10 years.
8. Response to Conservative Treatment
- Improvement of symptoms with rest, non-steroidal anti-inflammatory drugs (NSAIDs), or physical therapy.
9. Duration of Symptoms
- Symptoms persisting for a limited duration, generally less than 4 weeks, indicating a transient condition.
10. Imaging Findings
- Radiological evidence showing joint effusion or other signs consistent with transient synovitis, while excluding other pathologies.
These criteria should guide healthcare providers in determining the appropriate use of the ICD code for transient synovitis of the right hip.
For the ICD code M67.351, which pertains to transient synovitis of the right hip, 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., hip, knee, shoulder joint); without ultrasound guidance.
2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., hip, knee, shoulder joint); with ultrasound guidance, with permanent recording and reporting.
3. 73502 - Radiologic examination, hip, unilateral; with pelvis when performed, 2-3 views.
4. 73503 - Radiologic examination, hip, unilateral; with pelvis when performed, minimum of 4 views.
5. 73521 - Radiologic examination, hips, bilateral; with pelvis when performed, 2 views.
6. 73522 - Radiologic examination, hips, bilateral; with pelvis when performed, 3-4 views.
7. 73523 - Radiologic examination, hips, bilateral; with pelvis when performed, minimum of 5 views.
These CPT codes are commonly associated with the diagnostic and therapeutic procedures that may be performed for conditions related to the ICD code M67.351. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered to ensure accurate billing and reimbursement.
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