Transient synovitis, right knee
ICD-10 M67.361 is a billable code used to indicate a diagnosis of transient synovitis, right knee.
Transient synovitis of the knee is a self-limiting inflammatory condition affecting the synovial membrane of the knee joint, primarily seen in children. It is characterized by acute onset of knee pain, swelling, and limited range of motion. The etiology is often idiopathic, but it may follow a viral infection or trauma. Clinically, patients present with a limp and may exhibit tenderness over the joint. Diagnosis is typically made through clinical evaluation and imaging studies, such as ultrasound or MRI, which can reveal effusion and synovial thickening. Treatment is conservative, focusing on rest, analgesics, and physical therapy, with most cases resolving within a few weeks. However, it is crucial to differentiate transient synovitis from septic arthritis, as the latter requires urgent intervention. Understanding the nuances of this condition is essential for accurate coding and management.
Detailed history of present illness, physical examination findings, and treatment plan.
Children presenting with knee pain and limping after a viral illness.
Consideration of differential diagnoses such as septic arthritis and osteomyelitis.
Imaging results, surgical notes if applicable, and follow-up assessments.
Athletes with knee pain and swelling post-injury.
Documentation of any surgical interventions or referrals to physical therapy.
Used when joint effusion is present and needs to be drained.
Document indication for aspiration and findings during the procedure.
Orthopedic specialists often perform this procedure.
The primary treatment is conservative management, including rest, analgesics, and physical therapy, with most cases resolving spontaneously.
