Rupture of synovium, right foot
ICD-10 M66.174 is a billable code used to indicate a diagnosis of rupture of synovium, right foot.
Rupture of the synovium in the right foot refers to the tearing or disruption of the synovial membrane, which is a thin layer of tissue that lines the joints and tendon sheaths. This condition can occur due to trauma, repetitive stress, or underlying inflammatory conditions such as rheumatoid arthritis or gout. The synovium plays a crucial role in joint health by producing synovial fluid, which lubricates the joints and nourishes the cartilage. When the synovium ruptures, it can lead to pain, swelling, and decreased range of motion in the affected foot. Patients may present with symptoms such as localized tenderness, warmth, and swelling around the joint or tendon sheath. Diagnosis typically involves a thorough clinical examination, imaging studies like ultrasound or MRI, and sometimes aspiration of joint fluid for analysis. Treatment may include conservative measures such as rest, ice, compression, and elevation (RICE), as well as corticosteroid injections or surgical intervention if conservative management fails. Surgical options may involve synovectomy or repair of the ruptured synovium, depending on the severity of the rupture and associated conditions.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Patients presenting with acute foot pain following trauma or chronic pain due to repetitive stress injuries.
Orthopedic surgeons must document the extent of the rupture and any associated tendon injuries for proper coding.
Comprehensive patient history, including previous inflammatory conditions and treatment responses.
Patients with rheumatoid arthritis experiencing exacerbations leading to synovial rupture.
Rheumatologists should document the relationship between systemic disease and local joint pathology.
Used when a patient with a ruptured synovium undergoes arthroscopic evaluation.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the rationale for the procedure.
Common causes include acute trauma, repetitive stress injuries, and underlying inflammatory conditions such as rheumatoid arthritis.
Diagnosis typically involves a clinical examination, imaging studies like MRI or ultrasound, and sometimes aspiration of joint fluid.
