Rupture of synovium, unspecified wrist
ICD-10 M66.139 is a billable code used to indicate a diagnosis of rupture of synovium, unspecified wrist.
Rupture of the synovium in the wrist is a condition characterized by the tearing of the synovial membrane, which lines the joints and tendon sheaths. This membrane plays a crucial role in the production of synovial fluid, which lubricates the joints and facilitates smooth movement. A rupture can occur due to trauma, repetitive strain, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis. Symptoms may include localized swelling, pain, and decreased range of motion in the wrist. Diagnosis typically involves a physical examination, imaging studies such as MRI or ultrasound, and sometimes arthroscopy to visualize the joint. Treatment options may vary from conservative management, including rest and physical therapy, to surgical intervention for severe cases. Surgical repair may involve debridement of the damaged synovium or reconstruction to restore joint function. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Patients presenting with wrist pain following trauma or repetitive use, requiring surgical intervention.
Ensure that all surgical procedures are documented, including any complications or additional findings during surgery.
Comprehensive patient history, including previous inflammatory conditions and current treatment plans.
Patients with underlying autoimmune disorders presenting with wrist synovitis and potential rupture.
Documenting the relationship between systemic conditions and local joint issues is crucial for accurate coding.
Used when a patient presents with wrist pain and a suspected synovial rupture.
Operative report detailing findings and procedures performed.
Orthopedic surgeons should ensure that all findings are clearly documented to support the diagnosis.
M66.139 is used when the specific wrist side is not documented, while M66.131 is for ruptures specifically in the right wrist.
