Rupture of synovium, unspecified finger(s)
ICD-10 M66.146 is a billable code used to indicate a diagnosis of rupture of synovium, unspecified finger(s).
Rupture of synovium in the fingers is a condition characterized by the tearing of the synovial membrane that surrounds the joints and tendons of the fingers. This membrane plays a crucial role in lubricating the joints and facilitating smooth movement. Ruptures can occur due to trauma, repetitive strain, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis. Symptoms typically include pain, swelling, and limited range of motion in the affected finger(s). Diagnosis is often made through clinical examination and imaging studies, such as ultrasound or MRI, to assess the extent of the rupture and any associated tendon injuries. Treatment may involve conservative management with rest, splinting, and anti-inflammatory medications, or surgical intervention to repair the synovium and any damaged tendons. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with acute finger pain following trauma or chronic pain due to repetitive use.
Ensure that all surgical interventions are documented, including the type of repair performed.
Comprehensive assessment of inflammatory markers and history of autoimmune conditions.
Patients with rheumatoid arthritis experiencing exacerbations leading to synovial rupture.
Document any underlying rheumatologic conditions that may contribute to the rupture.
Used when surgical repair of the ruptured synovium and associated tendon is performed.
Document the extent of the rupture and the surgical technique used.
Orthopedic surgeons should provide detailed operative notes.
M66.146 is used for unspecified finger(s), while M66.145 specifies a rupture in the right finger(s). Accurate documentation is essential to choose the correct code.
