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ICD-10 Guide
ICD-10 CodesM67.352

M67.352

Billable

Transient synovitis, left hip

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

Code Description

ICD-10 M67.352 is a billable code used to indicate a diagnosis of transient synovitis, left hip.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other hip disorders such as septic arthritis or osteomyelitis.
  • Variability in clinical presentation and symptom severity.
  • Need for imaging studies to confirm diagnosis.
  • Potential for overlapping symptoms with other conditions.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify laterality (left hip).
  • Misdiagnosis or coding of similar conditions.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of symptoms, physical examination findings, and any imaging studies performed.

Common Clinical Scenarios

A child presenting with hip pain after a recent viral illness, limping, and reluctance to bear weight.

Billing Considerations

Consideration of differential diagnoses such as septic arthritis, especially in febrile patients.

Orthopedics

Documentation Requirements

Comprehensive assessment of joint function, imaging results, and treatment plan including any surgical interventions.

Common Clinical Scenarios

An adolescent with persistent hip pain and limited range of motion requiring further evaluation.

Billing Considerations

Documentation of any surgical procedures or interventions performed, such as joint aspiration.

Coding Guidelines

Inclusion Criteria

Use M67.352 When
  • According to ICD
  • 10 coding guidelines, M67
  • 352 should be used when the condition is specifically diagnosed as transient synovitis of the left hip
  • Coders must ensure that documentation supports the diagnosis and includes details about the clinical presentation and any treatments provided

Exclusion Criteria

Do NOT use M67.352 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

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

Clinical Scenario

Used when aspiration of the hip joint is performed to relieve symptoms.

Documentation Requirements

Document the indication for the procedure, findings, and any fluid analysis.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is justified based on clinical findings.

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. The detailed codes facilitate better tracking of the condition's prevalence and management outcomes.

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. The detailed codes facilitate better tracking of the condition's prevalence and management outcomes.

Reimbursement & Billing Impact

reimbursement processes. The detailed codes facilitate better tracking of the condition's prevalence and management outcomes.

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 for transient synovitis is conservative management, which includes rest, analgesics, and physical therapy. Most cases resolve spontaneously within a few weeks.