Rupture of synovium, wrist
ICD-10 M66.13 is a billable code used to indicate a diagnosis of rupture of synovium, wrist.
Rupture of the synovium in the wrist is a condition characterized by the tearing of the synovial membrane, which lines the joints and tendons. This membrane plays a crucial role in producing synovial fluid, which lubricates the joints and reduces friction during movement. A rupture can occur due to trauma, repetitive strain, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis. Patients may present with symptoms including swelling, pain, and limited range of motion in the wrist. Diagnosis typically involves a thorough clinical examination, imaging studies such as MRI or ultrasound, and sometimes arthroscopy to visualize the joint. Treatment options may include conservative management with rest, ice, and anti-inflammatory medications, or surgical intervention to repair the ruptured synovium, especially in cases where there is significant functional impairment. Post-surgical rehabilitation is often necessary to restore strength and mobility. Accurate coding of this condition is essential for proper reimbursement and tracking of treatment outcomes.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with wrist pain after a fall or repetitive use, requiring surgical intervention.
Ensure that the surgical procedure performed is clearly documented to support the coding.
Comprehensive assessment of underlying inflammatory conditions and their impact on synovial health.
Patients with rheumatoid arthritis experiencing acute exacerbations leading to synovial rupture.
Documenting the relationship between systemic disease and local joint pathology is crucial.
Used when surgical intervention is required for a ruptured synovium.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure clear documentation of the surgical approach and any complications.
The primary causes include trauma, repetitive strain injuries, and underlying inflammatory conditions such as rheumatoid arthritis.
A synovial rupture primarily affects the synovial membrane, while a tendon injury involves the tendons themselves. Imaging studies and clinical examination can help clarify the diagnosis.
