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ICD-10 Guide
ICD-10 CodesM67.339

M67.339

Billable

Transient synovitis, unspecified wrist

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

Code Description

ICD-10 M67.339 is a billable code used to indicate a diagnosis of transient synovitis, unspecified wrist.

Key Diagnostic Point:

Transient synovitis of the wrist is a temporary inflammatory condition affecting the synovial membrane surrounding the wrist joint. This condition is characterized by pain, swelling, and limited range of motion, often resulting from repetitive trauma, overuse, or minor injuries. It is commonly seen in children and adolescents but can occur in adults as well. The inflammation can lead to joint effusion, which may be detected through physical examination or imaging studies. Diagnosis typically involves ruling out other conditions such as rheumatoid arthritis, gout, or infectious arthritis. Treatment usually includes rest, ice application, non-steroidal anti-inflammatory drugs (NSAIDs), and physical therapy. In severe cases, aspiration of the joint may be necessary to relieve pressure and pain. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and recovery. Accurate coding of transient synovitis is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Differentiation from other synovial disorders
  • Need for precise documentation of symptoms and treatment
  • Potential for co-existing conditions affecting the wrist

Audit Risk Factors

  • Inadequate documentation of the transient nature of the condition
  • Failure to differentiate from chronic synovitis or other joint disorders
  • Lack of supporting evidence for treatment provided
  • Misclassification of the wrist joint involvement

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of symptoms, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Patients presenting with wrist pain after sports activities or repetitive use.

Billing Considerations

Documentation should clearly state the transient nature and any differential diagnoses considered.

Pediatrics

Documentation Requirements

Growth and development history, activity level, and any previous joint issues.

Common Clinical Scenarios

Children presenting with wrist pain after falls or sports injuries.

Billing Considerations

Consideration of growth plate involvement and developmental factors.

Coding Guidelines

Inclusion Criteria

Use M67.339 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's transient nature
  • Include details on the duration of symptoms and any treatments provided

Exclusion Criteria

Do NOT use M67.339 When
  • Exclude codes for chronic conditions or other specific joint disorders

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 effusion is present and aspiration is performed.

Documentation Requirements

Document the reason for aspiration, findings, and any therapeutic interventions.

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. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

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. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

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 the primary treatment for transient synovitis?

The primary treatment includes rest, ice application, NSAIDs for pain relief, and physical therapy. In some cases, aspiration may be necessary.