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ICD-10 Guide
ICD-10 CodesChapter 13: Diseases of the musculoskeletal systemM67

M67

Billable

Other disorders of synovium and tendon

Chapter 13:Diseases of the musculoskeletal system

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

Code Description

ICD-10 M67 is a billable code used to indicate a diagnosis of other disorders of synovium and tendon.

Key Diagnostic Point:

M67 encompasses a variety of conditions affecting the synovium and tendons, which are critical components of the musculoskeletal system. These disorders can include tenosynovitis, which is the inflammation of the synovial sheath surrounding a tendon, often resulting from repetitive motion or overuse. Other conditions may involve tendon ruptures, where the tendon fibers tear due to acute injury or chronic degeneration. Surgical repairs, such as tendon repair or synovectomy, may be necessary for severe cases. The clinical presentation can vary widely, with symptoms including pain, swelling, and limited range of motion. Accurate diagnosis often requires imaging studies, such as ultrasound or MRI, to assess the extent of the damage. Treatment options range from conservative management, including rest and physical therapy, to surgical interventions, depending on the severity and nature of the disorder. Understanding the nuances of these conditions is essential for proper coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms and treatment
  • Differentiation between acute and chronic conditions
  • Potential for overlapping diagnoses with other musculoskeletal codes

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Failure to specify acute vs. chronic conditions
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of supporting imaging or clinical notes

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with pain and swelling in joints, post-injury evaluations, and pre-operative assessments.

Billing Considerations

Ensure clarity in the documentation of the specific tendon or synovial structure involved.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms, laboratory results, and response to treatment.

Common Clinical Scenarios

Patients with inflammatory conditions affecting multiple joints and tendons.

Billing Considerations

Document any autoimmune markers or comorbid conditions that may influence treatment.

Coding Guidelines

Inclusion Criteria

Use M67 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate coding based on the specific diagnosis and treatment provided
  • Include any relevant modifiers to indicate the complexity of the case

Exclusion Criteria

Do NOT use M67 When
No specific exclusions found.

Related CPT Codes

29806CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used for surgical repair of tendon tears in the shoulder.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic documentation must specify the type of tendon involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of disorders related to the synovium and tendon, improving the granularity of data for research and reimbursement purposes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of disorders related to the synovium and tendon, improving the granularity of data for research and reimbursement purposes.

Reimbursement & Billing Impact

reimbursement purposes.

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 conditions are included under M67?

M67 includes various disorders of the synovium and tendon, such as tenosynovitis, tendon ruptures, and other specified disorders that do not fall under more specific codes.