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ICD-10 Guide
ICD-10 CodesM67.34

M67.34

Billable

Transient synovitis, hand

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

Code Description

ICD-10 M67.34 is a billable code used to indicate a diagnosis of transient synovitis, hand.

Key Diagnostic Point:

Transient synovitis of the hand is a temporary inflammatory condition affecting the synovial membrane of the joints in the hand. It is characterized by pain, swelling, and limited range of motion, often resulting from overuse, trauma, or infection. The condition is more common in children but can also occur in adults, particularly those engaged in repetitive hand activities. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes aspiration of the joint to rule out other conditions. Treatment usually includes rest, ice, anti-inflammatory medications, and physical therapy. In severe cases, corticosteroid injections may be considered. The transient nature of the condition means that with appropriate management, patients often experience complete resolution of symptoms without long-term complications. However, it is essential to differentiate transient synovitis from other more serious conditions such as septic arthritis or rheumatoid arthritis, which may require different treatment approaches.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating from other synovial disorders
  • Need for precise documentation of symptoms and duration
  • Potential overlap with tenosynovitis and tendon injuries
  • Variability in treatment approaches and outcomes

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the duration of symptoms
  • Misdiagnosis leading to incorrect coding
  • Lack of imaging or lab results to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes on joint examination, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with joint pain and swelling after sports activities or repetitive use.

Billing Considerations

Ensure to document the transient nature of the condition and any differential diagnoses considered.

Pediatrics

Documentation Requirements

Growth and development history, detailed symptom description, and family history.

Common Clinical Scenarios

Children presenting with sudden onset of hand pain and swelling, often after minor trauma.

Billing Considerations

Consider developmental milestones and potential for other underlying conditions.

Coding Guidelines

Inclusion Criteria

Use M67.34 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's transient nature
  • Include any relevant imaging or lab results to support the diagnosis

Exclusion Criteria

Do NOT use M67.34 When
  • Exclude conditions that are not transient or are chronic in nature

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration of a major joint or bursa

Clinical Scenario

Used when joint effusion is present and aspiration is performed.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists should ensure clear documentation of joint status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of transient synovitis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of transient synovitis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of treatment outcomes and healthcare utilization.

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 are the common symptoms of transient synovitis?

Common symptoms include joint pain, swelling, and limited range of motion in the affected hand. Symptoms may develop suddenly and can vary in intensity.

How is transient synovitis diagnosed?

Diagnosis is typically made through clinical examination, imaging studies such as ultrasound or MRI, and exclusion of other conditions like septic arthritis.

What is the typical treatment for transient synovitis?

Treatment usually involves rest, ice, anti-inflammatory medications, and physical therapy. In some cases, corticosteroid injections may be used.