The ICD-10 code for left shoulder hypertrophic synovitis is M67.212.
Understanding ICD-10 Code M67.212 for Left Shoulder Synovial Hypertrophy
The International Classification of Diseases, Tenth Revision (ICD-10) provides a standardized system for classifying diseases and health problems, crucial for clinical purposes, epidemiology, and health management. When dealing with conditions like hypertrophic synovitis, a specific code ensures accurate documentation and reimbursement.
The term "hypertrophic synovitis" refers to the thickening or overgrowth of the synovial membrane, which lines the joints. This can lead to pain, swelling, and reduced range of motion. For the left shoulder, this specific condition is coded as M67.212.
Detailed Breakdown of M67.212
| Code | Description | Body Part/Laterality | Type | Purpose | Edition |
|---|---|---|---|---|---|
| M67.212 | Synovial hypertrophy, not elsewhere classified, left shoulder | Left Shoulder | Billable/Specific | Reimbursement Purposes | 2025 |
What Does "Not Elsewhere Classified" Mean?
The phrase "not elsewhere classified" (NEC) indicates that while the hypertrophy of the synovium is present, the specific underlying cause or nature of the hypertrophy isn't detailed or hasn't been coded more specifically elsewhere in the ICD-10 system. This code is used when a more precise diagnostic code is unavailable or doesn't apply based on the documented information.
Importance in Healthcare
- Accurate Diagnosis Documentation: Using the correct ICD-10 code ensures that the patient's medical record accurately reflects their diagnosis, aiding in continuity of care.
- Billing and Reimbursement: For healthcare providers, M67.212 is a billable code, meaning it can be used to justify medical services and procedures for insurance claims and reimbursement.
- Epidemiological Tracking: These codes contribute to national and international health statistics, helping researchers and public health officials track disease prevalence and trends.
- Research: Standardized coding allows for large-scale data analysis, which can lead to better understanding of conditions like synovial hypertrophy and the development of more effective treatments.
Common Associated Symptoms
Patients with left shoulder hypertrophic synovitis might experience a range of symptoms, including:
- Pain in the left shoulder, often worsened with movement.
- Swelling or tenderness around the shoulder joint.
- Stiffness or limited range of motion in the shoulder.
- A palpable thickening or warmth in the affected area.
Understanding the specific ICD-10 code helps in streamlining the diagnostic and treatment pathway for individuals presenting with these symptoms related to synovial hypertrophy in the left shoulder.
