Rupture of synovium, unspecified shoulder
ICD-10 M66.119 is a billable code used to indicate a diagnosis of rupture of synovium, unspecified shoulder.
Rupture of the synovium in the shoulder joint is a condition characterized by the tearing of the synovial membrane, which lines the joint and produces synovial fluid. This membrane plays a crucial role in joint lubrication and nourishment of the cartilage. A rupture can occur due to acute trauma, repetitive stress, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis. Symptoms typically include localized pain, swelling, and reduced range of motion in the shoulder. Diagnosis is often confirmed through imaging studies such as MRI or ultrasound, which can visualize the extent of the rupture and any associated tendon injuries. Treatment may involve conservative measures such as rest, ice, and physical therapy, or more invasive options like corticosteroid injections or surgical repair, depending on the severity of the rupture and the patient's overall health. Surgical intervention may involve synovectomy or repair of any associated tendon injuries, particularly if there is concurrent tenosynovitis or tendon rupture.
Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plan.
Patients presenting with shoulder pain after a fall or repetitive overhead activity.
Ensure documentation reflects the specific nature of the rupture and any associated tendon injuries.
Comprehensive assessment of underlying inflammatory conditions and their impact on joint health.
Patients with a history of rheumatoid arthritis presenting with acute shoulder pain.
Document any systemic symptoms or laboratory findings that may indicate an underlying rheumatologic condition.
Used when surgical intervention is performed to repair the ruptured synovium.
Operative report detailing the procedure, findings, and any repairs made.
Orthopedic surgeons must document the extent of the rupture and any associated procedures performed.
M66.119 is used for unspecified shoulder synovial rupture, while M66.118 specifies a rupture in the right shoulder. Accurate coding depends on the documentation provided.
