Transient synovitis, left hip
ICD-10 M67.352 is a billable code used to indicate a diagnosis of transient synovitis, left hip.
Transient synovitis of the hip is a self-limiting inflammatory condition characterized by the presence of synovial fluid in the hip joint, leading to pain and limited mobility. It is most commonly seen in children aged 3 to 10 years and can present with symptoms such as hip pain, limping, and reduced range of motion. The exact etiology is often unclear, but it may follow a viral infection or be associated with trauma. Diagnosis typically involves clinical evaluation, imaging studies such as ultrasound or MRI, and exclusion of other conditions like septic arthritis or osteomyelitis. Treatment is generally conservative, focusing on rest, analgesics, and physical therapy, with most cases resolving within a few weeks. However, in some instances, aspiration of the joint may be necessary to relieve symptoms. Understanding the nuances of transient synovitis is crucial for accurate diagnosis and management, as well as for appropriate coding in medical records.
Detailed history of symptoms, physical examination findings, and any imaging studies performed.
A child presenting with hip pain after a recent viral illness, limping, and reluctance to bear weight.
Consideration of differential diagnoses such as septic arthritis, especially in febrile patients.
Comprehensive assessment of joint function, imaging results, and treatment plan including any surgical interventions.
An adolescent with persistent hip pain and limited range of motion requiring further evaluation.
Documentation of any surgical procedures or interventions performed, such as joint aspiration.
Used when aspiration of the hip joint is performed to relieve symptoms.
Document the indication for the procedure, findings, and any fluid analysis.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
The primary treatment for transient synovitis is conservative management, which includes rest, analgesics, and physical therapy. Most cases resolve spontaneously within a few weeks.