ICD-10-CM Billable Code

M67.39

Transient synovitis, multiple sites

Clinical Classification Guidelines

Medical Intelligence & Overview

Transient synovitis, also known as toxic synovitis, is a temporary inflammation of the synovial membrane within a joint. When it occurs in multiple joints simultaneously, it is referred to as transient synovitis at multiple sites. Although it often affects the hip, it can involve other joints too. This condition is typically benign, meaning it tends to resolve on its own without long-term damage, especially when diagnosed and managed appropriately. It most commonly occurs in young children and is a frequent cause of joint pain and limping in this age group.

Causes & Symptoms

Clinical Causes: Viral infections, which can trigger inflammation in the joints. Recent respiratory or gastrointestinal infections precede the onset. Immunological responses that lead to joint inflammation. Physical trauma may sometimes contribute, though less common. Genetic predisposition has been suggested, but definitive links are still under research.

Key Symptoms: Joint pain in multiple locations, often sudden in onset. Limping or difficulty walking, especially in children. Swelling and tenderness around affected joints. Reduced range of motion in the involved joints. Fever may be present in some cases. Mild discomfort that often worsens with activity and improves with rest.

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and laboratory tests. Health care providers may carry out the following:

Treatment Protocols: Transient synovitis often improves without specific intervention. Treatment focuses on alleviating symptoms and supporting recovery:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M67.39 a billable ICD-10 code?
Yes, M67.39 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M67.39?
Clinical documentation must specify the nature of Transient synovitis, multiple sites and any associated comorbidities for accurate reporting.

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