Synovial hypertrophy, not elsewhere classified, multiple sites
ICD-10 M67.29 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, multiple sites.
Synovial hypertrophy refers to the abnormal enlargement of the synovial membrane, which lines the joints and tendon sheaths. This condition can occur in multiple sites and is often associated with inflammatory processes, such as rheumatoid arthritis or other forms of inflammatory arthritis. The hypertrophy can lead to joint swelling, pain, and decreased range of motion, significantly impacting a patient's quality of life. In cases where synovial hypertrophy is present, it may be accompanied by tenosynovitis, which is the inflammation of the synovial sheath surrounding a tendon. This can result in tendon pain, swelling, and, in severe cases, tendon ruptures. Surgical interventions, such as synovectomy or tendon repair, may be necessary to alleviate symptoms and restore function. Accurate coding of M67.29 is crucial for proper treatment planning and reimbursement, as it captures the complexity of synovial disorders that do not fit neatly into other classifications.
Detailed clinical notes on joint examination, imaging results, and treatment plans.
Patients presenting with joint pain and swelling, particularly in the context of autoimmune diseases.
Ensure that all affected joints are documented, and the underlying cause of synovial hypertrophy is clearly stated.
Surgical reports detailing the procedure performed, findings, and post-operative care.
Patients requiring surgical intervention for tendon repair or synovectomy due to severe synovial hypertrophy.
Document the specific tendons involved and any complications that arise during surgery.
Used when performing an arthroscopy to evaluate synovial hypertrophy.
Document the findings during the procedure and any biopsies taken.
Orthopedic surgeons should ensure that the reason for the procedure aligns with the diagnosis.
Performed when synovial hypertrophy is causing significant symptoms.
Detailed operative report outlining the procedure and indications.
Ensure that the specific tendon involved is documented.
Use M67.29 when synovial hypertrophy is present at multiple sites and cannot be classified under a more specific code. Ensure that documentation supports this coding choice.
