ICD CODES

ICD Code M67.359

ICD code M67359 is used to classify and identify the condition of transient synovitis in an unspecified hip for medical documentation and analysis.

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What is ICD diagnosis code M67.359

ICD code M67359 is used to identify a medical condition known as transient synovitis of an unspecified hip. This condition is characterized by temporary inflammation of the synovial membrane, which is the lining of the hip joint. It often results in hip pain and limping, primarily affecting children. The term "unspecified hip" indicates that the documentation does not specify whether the condition affects the left or right hip. This code is crucial for healthcare providers in documenting the diagnosis accurately for treatment planning and billing purposes.

When to use ICD code M67.359

When considering the use of the ICD code for transient synovitis of the unspecified hip, the following diagnostic criteria and symptoms should be evaluated:

1. Acute Hip Pain
- Sudden onset of pain in the hip region.

2. Limited Range of Motion
- Difficulty or pain when moving the hip joint.

3. Swelling in the Hip Area
- Noticeable swelling or tenderness around the hip joint.

4. Limping or Altered Gait
- Changes in walking patterns due to discomfort or instability in the hip.

5. Fever
- Presence of low-grade fever, which may accompany the condition.

6. Recent Viral Infection
- History of a recent viral illness, which may be associated with the onset of symptoms.

7. Exclusion of Other Conditions
- Ruling out other potential causes of hip pain, such as fractures, septic arthritis, or osteomyelitis.

8. Age Consideration
- Typically occurs in children, particularly those aged 3 to 10 years.

9. Response to Rest
- Improvement of symptoms with rest and limited activity.

10. Imaging Findings
- Radiological evidence suggesting joint effusion or inflammation without significant bony abnormalities.

These criteria should be carefully assessed to determine the appropriate use of the ICD code for transient synovitis of the unspecified hip.

Billable CPT codes for ICD code M67.359

For the ICD code M67.359, which pertains to transient synovitis of an unspecified hip, the relevant CPT codes that could be considered for treatment or diagnostic purposes 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 2-3 views.

4. 73503 - Radiologic examination, hip, unilateral; minimum of 4 views.

5. 73521 - Radiologic examination, hips, bilateral; with 2 views of each hip, including anteroposterior view of pelvis.

6. 73522 - Radiologic examination, hips, bilateral; minimum of 3 views of each hip, including anteroposterior view of pelvis.

These CPT codes are typically used in the context of diagnosing or managing conditions related to the hip, such as transient synovitis, and should be selected based on the specific clinical scenario and services provided. Always ensure that the chosen CPT codes align with the services rendered and are supported by appropriate documentation.

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