Transient synovitis, unspecified hand
ICD-10 M67.349 is a billable code used to indicate a diagnosis of transient synovitis, unspecified hand.
Transient synovitis is a temporary inflammation of the synovial membrane, which lines the joints and tendons. In the case of the hand, this condition can lead to pain, swelling, and limited range of motion. It is often seen in children and can be triggered by trauma, infection, or autoimmune conditions. The inflammation can cause the synovial fluid to accumulate, leading to joint effusion. Diagnosis typically involves clinical examination and imaging studies, such as ultrasound or MRI, to assess the extent of inflammation and rule out other conditions like tenosynovitis or tendon ruptures. Treatment usually includes rest, ice, and non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, corticosteroid injections may be considered to reduce inflammation. Surgical intervention is rare but may be necessary if conservative management fails or if there is a significant underlying structural issue. Accurate coding is essential for proper reimbursement and to reflect the patient's clinical status.
Detailed clinical notes, imaging results, and treatment plans.
Patients presenting with joint pain and swelling after minor trauma.
Ensure to document the duration of symptoms and response to treatment.
Growth and development assessments, family history, and physical examination findings.
Children with sudden onset of hand pain and swelling.
Consider developmental milestones and potential underlying conditions.
Used when joint effusion is present and requires drainage.
Document indication for procedure, joint involved, and amount of fluid removed.
Orthopedic specialists should ensure proper coding for joint injections.
The primary treatment includes rest, ice application, and NSAIDs to reduce inflammation and pain. In some cases, corticosteroid injections may be considered.
