Transient synovitis
ICD-10 M67.3 is a billable code used to indicate a diagnosis of transient synovitis.
Transient synovitis is a benign inflammatory condition affecting the synovial membrane, primarily seen in children. It is characterized by acute hip pain, limping, and reduced range of motion, often following a viral infection or minor trauma. The condition typically presents with swelling and tenderness in the hip joint, and while it can mimic septic arthritis, it is distinguished by the absence of fever and systemic illness. Diagnosis is usually confirmed through clinical examination and imaging studies, such as ultrasound, which may reveal effusion in the joint. Treatment is generally conservative, involving rest, non-steroidal anti-inflammatory drugs (NSAIDs), and physical therapy. The prognosis is excellent, with most children recovering fully within a few weeks. However, it is crucial to monitor for potential complications, such as avascular necrosis or persistent joint issues, which may require further intervention. Understanding transient synovitis is essential for differentiating it from more severe conditions and ensuring appropriate management.
Detailed history of symptoms, physical examination findings, and treatment plan.
A child presenting with hip pain after a recent viral illness.
Ensure to document the absence of fever and systemic symptoms to rule out septic arthritis.
Imaging results, treatment interventions, and follow-up assessments.
An adolescent with hip pain and limited mobility requiring evaluation for joint issues.
Document any surgical interventions if complications arise.
Used when joint effusion is present and needs to be drained.
Document the indication for the procedure and findings from the aspiration.
Orthopedic specialists should ensure proper coding based on the procedure performed.
The primary treatment involves rest, NSAIDs for pain relief, and monitoring for resolution of symptoms. Most cases resolve without complications.
