ICD code M6739 is used to classify transient synovitis affecting multiple sites, aiding in the standardization of medical diagnoses.
ICD code M6739 is used to identify the medical condition known as transient synovitis affecting multiple sites. Transient synovitis is a temporary inflammation of the synovial membrane, which is the lining of the joint. This condition often causes joint pain and swelling, typically in children, and is most commonly associated with the hip joint. However, when multiple sites are involved, it indicates that more than one joint is experiencing these symptoms. The code M6739 helps healthcare providers accurately document and communicate this specific diagnosis for effective treatment planning and billing purposes.
When to use the ICD code for transient synovitis, multiple sites:
1. Presence of Joint Pain
- Patient reports pain in multiple joints, particularly in the hip, knee, or ankle.
2. Swelling in Affected Joints
- Observable swelling or effusion in the joints involved.
3. Limited Range of Motion
- Difficulty or pain during movement of the affected joints.
4. Recent History of Trauma or Infection
- Patient has a recent history of trauma to the joints or a preceding infection that may contribute to the condition.
5. Age Consideration
- Typically occurs in children and adolescents; consider age when diagnosing.
6. Exclusion of Other Conditions
- Other potential causes of joint pain and swelling (e.g., septic arthritis, rheumatoid arthritis) have been ruled out through clinical evaluation and diagnostic imaging.
7. Acute Onset of Symptoms
- Symptoms have a sudden onset, indicating an acute inflammatory process.
8. Response to Conservative Treatment
- Symptoms improve with rest, anti-inflammatory medications, or physical therapy, suggesting a transient nature of the condition.
9. Diagnostic Imaging Findings
- Imaging studies (e.g., ultrasound or MRI) show signs consistent with transient synovitis, such as joint effusion without significant bony abnormalities.
10. No Evidence of Chronic Joint Disease
- Absence of chronic joint disease or previous episodes of similar symptoms in the patient's medical history.
For the ICD code M6739, "Transient synovitis, multiple sites," the relevant CPT codes that may be applicable for treatment include:
1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder joint); without ultrasound guidance.
2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder joint); with ultrasound guidance, with permanent recording and reporting.
3. 99201-99205 - Evaluation and Management (E/M) codes for new patient office or other outpatient visits, depending on the level of service provided.
4. 99211-99215 - Evaluation and Management (E/M) codes for established patient office or other outpatient visits, depending on the level of service provided.
5. 73510 - Radiologic examination, hip, unilateral; complete, minimum of two views.
6. 73560 - Radiologic examination, knee; one or two views.
These CPT codes are examples of procedures and services that may be utilized in the management and treatment of conditions associated with ICD code M6739. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.
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