Transient synovitis, unspecified site
ICD-10 M67.30 is a billable code used to indicate a diagnosis of transient synovitis, unspecified site.
Transient synovitis is a benign, self-limiting condition characterized by inflammation of the synovial membrane, typically affecting the hip joint in children. It presents with joint pain, swelling, and limited range of motion, often following a viral infection or minor trauma. The exact etiology remains unclear, but it is believed to involve an inflammatory response to an infectious agent or mechanical stress. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to rule out other conditions like septic arthritis or osteomyelitis. Treatment usually involves rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and physical therapy. In severe cases, aspiration of the joint may be necessary. The condition is most prevalent in children aged 3 to 10 years and is often self-resolving within a few weeks. However, accurate coding is essential to differentiate it from other synovial disorders, such as tenosynovitis or chronic synovitis, which may require different management strategies.
Detailed history of symptoms, physical examination findings, and any imaging results.
A child presents with hip pain after a recent viral illness.
Ensure to document the duration of symptoms and response to treatment.
Comprehensive assessment of joint function and any surgical interventions if applicable.
An adolescent with persistent joint pain and swelling requiring further evaluation.
Document any differential diagnoses considered and imaging studies performed.
Used when joint effusion is present and requires drainage.
Document the indication for aspiration and the amount of fluid removed.
Orthopedic specialists should ensure proper technique and follow-up care.
Transient synovitis typically resolves within a few weeks, but the duration can vary based on individual response to treatment.
Differentiation is based on clinical presentation, laboratory tests, and imaging studies. Septic arthritis usually presents with fever, severe pain, and elevated white blood cell counts.
