Transient synovitis, unspecified elbow
ICD-10 M67.329 is a billable code used to indicate a diagnosis of transient synovitis, unspecified elbow.
Transient synovitis of the elbow is characterized by inflammation of the synovial membrane, leading to joint swelling, pain, and limited range of motion. This condition is often seen in children and can be triggered by trauma, infection, or autoimmune processes. The inflammation typically resolves spontaneously, but it can cause significant discomfort and functional impairment during its course. Clinically, patients may present with localized tenderness, warmth, and swelling around the elbow joint, often accompanied by a history of recent injury or overuse. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess synovial thickening and effusion. Treatment usually involves conservative measures, including rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, aspiration of the joint may be necessary to relieve pressure and obtain synovial fluid for analysis. Surgical intervention is rarely required unless there are complications such as persistent effusion or underlying structural abnormalities. Accurate coding for transient synovitis is crucial for proper management and reimbursement, as it reflects the transient nature of the condition and its impact on the patient's quality of life.
Detailed history of symptoms, physical examination findings, and treatment plan.
Children presenting with elbow pain after a fall or sports injury.
Consideration of growth plate involvement and differential diagnoses such as fractures.
Imaging results, surgical notes if applicable, and detailed treatment history.
Adults with elbow pain following repetitive motion or acute injury.
Differentiation from other elbow pathologies such as tendinitis or bursitis.
Used when aspiration is performed to relieve joint effusion.
Document indication for aspiration, findings, and post-procedure care.
Orthopedic specialists should ensure proper coding for joint procedures.
The primary treatment includes rest, ice, and NSAIDs to reduce inflammation and pain. In some cases, aspiration may be necessary.
Differentiation can be made through clinical evaluation, imaging studies, and exclusion of other conditions such as fractures or chronic synovitis.
