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ICD-10 Guide
ICD-10 CodesM67.322

M67.322

Billable

Transient synovitis, left elbow

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

Code Description

ICD-10 M67.322 is a billable code used to indicate a diagnosis of transient synovitis, left elbow.

Key Diagnostic Point:

Transient synovitis of the elbow is characterized by inflammation of the synovial membrane, which can lead to joint swelling, pain, and limited range of motion. This condition is often seen in children and can be triggered by trauma, infection, or other inflammatory processes. The left elbow is specifically affected in this code, indicating the need for precise documentation of the affected side. Symptoms may include localized tenderness, warmth, and swelling around the elbow joint, which can mimic other conditions such as septic arthritis or rheumatoid arthritis. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes aspiration of the joint to rule out infection. Treatment is usually conservative, focusing on rest, ice, and non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate symptoms. In some cases, physical therapy may be recommended to restore function. Understanding the underlying causes and differentiating transient synovitis from more serious conditions is crucial for effective management and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other synovial disorders
  • Need for precise documentation of laterality
  • Potential overlap with other inflammatory joint conditions
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify laterality
  • Misdiagnosis or coding of related conditions
  • Lack of imaging or treatment documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of present illness, physical examination findings, and treatment plan.

Common Clinical Scenarios

Children presenting with elbow pain after a fall or sports injury.

Billing Considerations

Consideration of growth plate involvement and differential diagnosis of septic arthritis.

Orthopedics

Documentation Requirements

Imaging results, surgical notes if applicable, and follow-up care documentation.

Common Clinical Scenarios

Adults with elbow pain due to overuse or repetitive strain.

Billing Considerations

Assessment for potential tendon injuries or ruptures that may accompany synovitis.

Coding Guidelines

Inclusion Criteria

Use M67.322 When
  • Follow official ICD
  • CM guidelines for coding synovial disorders
  • Ensure accurate documentation of laterality and clinical findings

Exclusion Criteria

Do NOT use M67.322 When
  • Exclude codes for septic arthritis unless confirmed

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when joint aspiration is performed to relieve swelling.

Documentation Requirements

Document indication for aspiration and findings from the procedure.

Specialty Considerations

Orthopedic specialists may perform this procedure more frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of transient synovitis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of transient synovitis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common causes of transient synovitis?

Common causes include trauma, viral infections, and inflammatory conditions. It is essential to differentiate it from septic arthritis.