M67.35
Transient synovitis, hip
Clinical Classification Guidelines
Medical Intelligence & Overview
Transient synovitis of the hip is a temporary inflammation of the synovial lining of the hip joint, primarily affecting children. It is a common condition that causes hip pain and limping, often mimicking more serious problems but generally resolving on its own with appropriate care. Recognized by the ICD-10 code M67.35, this condition is characterized by sudden onset of hip discomfort, swelling, and restricted movement, usually occurring after a viral infection or minor injury. Despite its transient nature, prompt recognition and management are essential to alleviate symptoms and rule out other hip disorders.
Causes & Symptoms
Clinical Causes: Viral infections, such as influenza or mumps Recent minor trauma or injury to the hip area Immune system responses triggering inflammation Concurrent upper respiratory infections Overuse or strain of the hip joint in active children
Key Symptoms: Sudden onset of hip pain, often localized to the groin or thigh Limping or difficulty walking, especially in children Reduced range of motion in the hip joint Swelling or tenderness around the hip Mild fever or general malaise in some cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of medical history, physical examination, and imaging studies. Doctors may perform the following assessments: - Physical examination to assess tenderness, range of motion, and gait - X-rays to exclude other causes such as fractures or dislocations - Ultrasound imaging to detect joint fluid accumulation - Blood tests to rule out infection or inflammatory conditions Usually, transient synovitis is diagnosed after other more serious conditions like septic arthritis or fractures have been excluded, emphasizing the importance of a thorough clinical evaluation.
Treatment Protocols: The management of transient synovitis focuses on relieving symptoms and supporting recovery. - Rest and activity restriction to reduce joint stress - Use of nonsteroidal anti-inflammatory drugs (NSAIDs) to control pain and inflammation - Application of ice packs to decrease swelling - Limiting weight-bearing activities until symptoms improve - Close follow-up by a healthcare provider Most children recover fully within a week to ten days. In some cases, a gradual return to normal activities is advised, and additional imaging may be performed if symptoms persist or worsen.
Clinical Advice & FAQs
Billing Guidance
Is M67.35 a billable ICD-10 code?
Yes, M67.35 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M67.35?
Clinical documentation must specify the nature of Transient synovitis, hip and any associated comorbidities for accurate reporting.
Cite this Clinical Reference