Synovial hypertrophy, not elsewhere classified, unspecified hand
ICD-10 M67.249 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, unspecified hand.
Synovial hypertrophy refers to the abnormal enlargement of the synovial membrane, which lines the joints and tendon sheaths. This condition can lead to increased synovial fluid production, resulting in joint swelling and discomfort. In the context of the hand, synovial hypertrophy may be associated with various underlying conditions, including inflammatory arthritis, repetitive strain injuries, or tenosynovitis. Patients may present with symptoms such as pain, stiffness, and reduced range of motion in the affected hand. Diagnosis typically involves a thorough clinical examination, imaging studies like ultrasound or MRI, and sometimes synovial fluid analysis. Treatment options may include corticosteroid injections, physical therapy, or surgical interventions to relieve symptoms and restore function. Surgical repairs may be necessary in cases of severe tendon damage or ruptures associated with synovial hypertrophy, emphasizing the importance of accurate coding for effective management and reimbursement.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients with inflammatory arthritis presenting with joint swelling and pain.
Ensure that all relevant comorbidities are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients requiring surgical intervention for tendon repair due to synovial hypertrophy.
Document the extent of tendon damage and any associated procedures performed.
Used when performing an aspiration of the joint due to synovial hypertrophy.
Document the indication for the procedure and the findings during aspiration.
Rheumatologists should ensure that the diagnosis supports the need for the procedure.
Synovial hypertrophy is primarily caused by inflammation of the synovial membrane, which can result from conditions such as rheumatoid arthritis, osteoarthritis, or repetitive strain injuries.
