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ICD-10 Guide
ICD-10 CodesM67.271

M67.271

Billable

Synovial hypertrophy, not elsewhere classified, right ankle and foot

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

Code Description

ICD-10 M67.271 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, right ankle and foot.

Key Diagnostic Point:

Synovial hypertrophy refers to the abnormal enlargement of the synovial membrane, which lines the joints and tendon sheaths. In the context of the right ankle and foot, this condition can arise from various underlying causes, including inflammatory diseases, repetitive trauma, or degenerative changes. Clinically, patients may present with swelling, pain, and decreased range of motion in the affected area. Synovial hypertrophy can be associated with conditions such as tenosynovitis, where inflammation occurs in the tendon sheath, leading to pain and dysfunction. It may also predispose individuals to tendon ruptures due to the altered biomechanics of the joint. Surgical interventions, such as synovectomy or tendon repair, may be necessary in severe cases to alleviate symptoms and restore function. Accurate diagnosis often requires imaging studies, such as ultrasound or MRI, to assess the extent of hypertrophy and rule out other pathologies. Treatment typically involves a combination of conservative management, including physical therapy and anti-inflammatory medications, and surgical options when conservative measures fail.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of synovial disorders
  • Understanding the relationship between synovial hypertrophy and other conditions like tenosynovitis
  • Documenting the specific location and extent of the hypertrophy
  • Identifying the underlying cause of the hypertrophy for accurate coding

Audit Risk Factors

  • Inadequate documentation of the underlying cause of synovial hypertrophy
  • Failure to specify the affected joint or tendon
  • Misclassification of the condition as a more common diagnosis
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes including physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with joint pain, swelling, and limited mobility due to synovial hypertrophy.

Billing Considerations

Ensure that all relevant imaging and diagnostic tests are documented to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive history of symptoms, laboratory tests, and response to treatment.

Common Clinical Scenarios

Patients with autoimmune conditions presenting with synovial hypertrophy as part of their disease process.

Billing Considerations

Document any systemic symptoms or comorbidities that may influence treatment and coding.

Coding Guidelines

Inclusion Criteria

Use M67.271 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's specifics, including laterality and any associated conditions
  • Include any relevant imaging or diagnostic tests that support the diagnosis

Exclusion Criteria

Do NOT use M67.271 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 a patient with synovial hypertrophy requires aspiration of joint fluid.

Documentation Requirements

Document the indication for the procedure, including the diagnosis and findings.

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 patient records and facilitating better treatment planning.

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 patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the accuracy of patient records and facilitating better treatment planning.

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 synovial hypertrophy?

Synovial hypertrophy is the abnormal enlargement of the synovial membrane, often due to inflammation or other underlying conditions, leading to joint swelling and pain.

How is M67.271 different from other synovial codes?

M67.271 specifically refers to synovial hypertrophy in the right ankle and foot, while other codes may refer to different locations or types of synovial disorders.