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ICD-10 Guide
ICD-10 CodesM67.241

M67.241

Billable

Synovial hypertrophy, not elsewhere classified, right hand

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M67.241 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, right hand.

Key Diagnostic Point:

Synovial hypertrophy refers to the abnormal enlargement of the synovial membrane, which lines the joints and tendon sheaths. This condition can occur due to various underlying causes, including inflammatory arthritis, repetitive strain injuries, or localized infections. In the right hand, synovial hypertrophy may lead to pain, swelling, and reduced range of motion, significantly impacting daily activities. Clinically, it is often associated with tenosynovitis, where inflammation of the tendon sheath occurs, potentially leading to tendon ruptures if left untreated. Surgical interventions may be necessary to repair damaged tendons or to remove hypertrophied synovial tissue. Accurate diagnosis typically involves imaging studies such as ultrasound or MRI, alongside a thorough clinical examination. Treatment options may include corticosteroid injections, physical therapy, or surgical procedures depending on the severity and underlying cause of the hypertrophy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of synovial disorders
  • Identifying the specific location and laterality of the condition
  • Understanding the relationship with tenosynovitis and potential tendon ruptures
  • Navigating documentation requirements for surgical repairs

Audit Risk Factors

  • Inadequate documentation of the condition's severity
  • Failure to specify laterality (right hand)
  • Misclassification of associated conditions like tenosynovitis
  • Lack of clarity in surgical documentation

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed surgical notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with pain and swelling in the right hand, requiring surgical intervention for tendon repair.

Billing Considerations

Ensure that all surgical procedures are documented with specific details regarding the extent of the synovial hypertrophy and any associated tendon issues.

Rheumatology

Documentation Requirements

Comprehensive patient history, physical examination findings, and laboratory results.

Common Clinical Scenarios

Patients with inflammatory arthritis presenting with synovial hypertrophy in the right hand.

Billing Considerations

Document the underlying cause of synovial hypertrophy to support the diagnosis and treatment plan.

Coding Guidelines

Inclusion Criteria

Use M67.241 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's specifics, including laterality and associated diagnoses
  • Include any relevant imaging or surgical notes to support the coding

Exclusion Criteria

Do NOT use M67.241 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when performing an injection for synovial hypertrophy treatment.

Documentation Requirements

Document the indication for the procedure and the specific joint involved.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is justified based on clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of synovial hypertrophy?

Synovial hypertrophy can be caused by various factors, including inflammatory conditions like rheumatoid arthritis, repetitive strain injuries, or localized infections.

How is synovial hypertrophy diagnosed?

Diagnosis typically involves a combination of clinical examination, imaging studies such as ultrasound or MRI, and assessment of associated symptoms.