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ICD-10 Guide
ICD-10 CodesM67.272

M67.272

Billable

Synovial hypertrophy, not elsewhere classified, left ankle and foot

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

Code Description

ICD-10 M67.272 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, left 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 left ankle and foot, this condition can arise from various underlying causes, including inflammatory arthritis, repetitive trauma, or chronic irritation. Patients may present with symptoms such as swelling, pain, and limited range of motion in the affected area. The diagnosis often involves imaging studies, such as ultrasound or MRI, to assess the extent of synovial thickening and rule out other conditions like tenosynovitis or tendon ruptures. Treatment may include conservative measures such as rest, ice, and anti-inflammatory medications, or more invasive options like corticosteroid injections or surgical intervention to remove the hypertrophied tissue. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of synovial disorders
  • Need for precise documentation of symptoms and imaging findings
  • Potential overlap with other codes related to tenosynovitis and tendon injuries
  • Variability in treatment approaches and their documentation

Audit Risk Factors

  • Inadequate documentation of the clinical rationale for the diagnosis
  • Failure to document imaging studies that support the diagnosis
  • Misclassification of the condition as a more common diagnosis
  • Lack of clarity in distinguishing between acute and chronic conditions

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

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

Common Clinical Scenarios

Patients with inflammatory arthritis presenting with joint swelling and pain.

Billing Considerations

Documentation must clearly indicate the relationship between synovial hypertrophy and underlying rheumatologic conditions.

Orthopedics

Documentation Requirements

Surgical notes, pre-operative assessments, and post-operative follow-ups detailing the condition and treatment.

Common Clinical Scenarios

Patients undergoing surgical repair of tendon ruptures associated with synovial hypertrophy.

Billing Considerations

Accurate coding of surgical procedures in conjunction with the diagnosis is crucial for reimbursement.

Coding Guidelines

Inclusion Criteria

Use M67.272 When
  • According to ICD
  • 10 guidelines, M67
  • 272 should be used when synovial hypertrophy is confirmed and not classified elsewhere
  • Documentation must support the diagnosis and specify the affected site

Exclusion Criteria

Do NOT use M67.272 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 a joint injection for synovial hypertrophy.

Documentation Requirements

Document the indication for the procedure, including imaging findings.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is linked to the diagnosis of synovial hypertrophy.

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 granularity of data for treatment and outcomes analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the granularity of data for treatment and outcomes analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like synovial hypertrophy, improving the granularity of data for treatment and outcomes analysis.

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 thickening of the synovial membrane, often due to inflammation or irritation, leading to joint swelling and pain.

How is synovial hypertrophy diagnosed?

Diagnosis typically involves a clinical examination, imaging studies such as ultrasound or MRI, and exclusion of other joint conditions.