Transient synovitis, unspecified hip
ICD-10 M67.359 is a billable code used to indicate a diagnosis of transient synovitis, unspecified hip.
Transient synovitis of the hip is a self-limiting inflammatory condition characterized by the inflammation of the synovial membrane surrounding the hip joint. It is most commonly seen in children, particularly those aged 3 to 10 years, and often presents with hip pain, limping, and reduced range of motion. The etiology is often idiopathic, but it can be associated with viral infections or trauma. Clinically, patients may exhibit symptoms such as hip pain that can radiate to the knee, fever, and a reluctance to bear weight on the affected leg. Diagnosis is typically made through clinical evaluation and imaging studies, such as ultrasound or MRI, which may reveal joint effusion. Treatment is generally conservative, focusing on rest, analgesics, and physical therapy, with most cases resolving spontaneously within a few weeks. However, it is crucial to differentiate transient synovitis from more serious conditions such as septic arthritis or Perthes disease, which may require more aggressive intervention.
Detailed history of present illness, physical examination findings, and imaging results.
A child presenting with hip pain and limping after a recent viral illness.
Ensure that differential diagnoses are ruled out, particularly septic arthritis.
Comprehensive evaluation of hip joint function, imaging studies, and treatment plans.
An adolescent with hip pain and limited range of motion following a sports injury.
Document any surgical interventions if they occur, as this may change coding.
Used when joint effusion is present and needs to be drained.
Document indication for aspiration, findings on examination, and post-procedure care.
Orthopedic specialists may perform this procedure more frequently.
Common symptoms include hip pain, limping, reduced range of motion, and sometimes fever. Symptoms often follow a viral illness.
Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess for joint effusion and rule out other conditions.
