Synovial hypertrophy, not elsewhere classified, other site
ICD-10 M67.28 is a billable code used to indicate a diagnosis of synovial hypertrophy, not elsewhere classified, other site.
Synovial hypertrophy refers to the abnormal enlargement of the synovial membrane, which lines the joints and tendon sheaths. This condition can occur in various sites throughout the body and is often associated with inflammatory processes, such as rheumatoid arthritis or other forms of arthritis. Synovial hypertrophy can lead to pain, swelling, and reduced range of motion in affected joints. It may also be a contributing factor to tenosynovitis, which is the inflammation of the synovial sheath surrounding a tendon. In cases where the hypertrophy is significant, it can result in tendon ruptures due to increased pressure on the tendon itself. Surgical interventions, such as synovectomy or tendon repair, may be necessary to alleviate symptoms and restore function. Accurate diagnosis often requires imaging studies and clinical evaluation to differentiate synovial hypertrophy from other joint pathologies. Treatment may include corticosteroid injections, physical therapy, and in some cases, surgical repair of damaged tendons or removal of hypertrophied tissue.
Detailed clinical notes on joint examination, imaging results, and treatment plans.
Patients with rheumatoid arthritis presenting with joint swelling and pain.
Ensure clear documentation of the relationship between synovial hypertrophy and systemic inflammatory conditions.
Surgical reports detailing the procedure performed, findings, and post-operative care.
Patients undergoing tendon repair due to rupture associated with synovial hypertrophy.
Document the extent of synovial involvement and any additional procedures performed.
Used when a patient with synovial hypertrophy undergoes arthroscopy for evaluation.
Document the findings during the procedure and any biopsies taken.
Orthopedic surgeons should ensure that the indication for surgery is clearly documented.
Synovial hypertrophy is primarily caused by chronic inflammation, often associated with autoimmune conditions like rheumatoid arthritis, but can also result from repetitive stress or injury.
