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ICD-10 Guide
ICD-10 CodesM67.262

M67.262

Billable

Synovial hypertrophy, not elsewhere classified, left lower leg

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

Code Description

ICD-10 M67.262 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, left lower leg.

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 diseases, repetitive trauma, or degenerative changes. In the left lower leg, synovial hypertrophy may manifest as swelling, pain, and restricted movement, often affecting the knee or ankle joints. Clinically, it may be associated with conditions such as tenosynovitis, where inflammation of the tendon sheath occurs, leading to pain and dysfunction. The diagnosis typically involves a thorough clinical examination, imaging studies like ultrasound or MRI, and sometimes synovial fluid analysis to rule out infections or crystal-induced arthropathies. Treatment options may include conservative measures such as rest, ice, and anti-inflammatory medications, or more invasive procedures like corticosteroid injections or surgical interventions to relieve symptoms and restore function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of synovial disorders.
  • Need for precise documentation of symptoms and clinical findings.
  • Potential overlap with other codes related to joint and tendon conditions.
  • Variability in treatment approaches based on underlying causes.

Audit Risk Factors

  • Inadequate documentation of the clinical rationale for the diagnosis.
  • Failure to specify the exact location of synovial hypertrophy.
  • Lack of imaging or lab results to support the diagnosis.
  • Misclassification of the condition as a more common joint disorder.

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and results from imaging studies.

Common Clinical Scenarios

Patients presenting with joint swelling, pain, and limited range of motion.

Billing Considerations

Consideration of autoimmune conditions that may contribute to synovial hypertrophy.

Orthopedics

Documentation Requirements

Surgical notes, pre-operative assessments, and post-operative follow-up documentation.

Common Clinical Scenarios

Patients undergoing surgical repair of tendon injuries or joint debridement.

Billing Considerations

Documentation of any concurrent procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use M67.262 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's specifics
  • Include details on the duration of symptoms, previous treatments, and any relevant imaging findings

Exclusion Criteria

Do NOT use M67.262 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 aspiration of the knee joint due to synovial hypertrophy.

Documentation Requirements

Document the reason for the procedure, the joint involved, and any findings.

Specialty Considerations

Orthopedic specialists should ensure detailed operative notes are provided.

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 tracking.

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 tracking.

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 tracking.

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, repetitive trauma, or degenerative changes in the joint.

How is synovial hypertrophy diagnosed?

Diagnosis typically involves a clinical examination, imaging studies such as MRI or ultrasound, and sometimes analysis of synovial fluid.