ICD-10-CM Billable Code

M67.311

Transient synovitis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Transient synovitis of the right shoulder is a temporary inflammation of the synovial membrane lining the shoulder joint. It primarily affects children and adolescents and is characterized by joint pain and swelling. The condition often resolves on its own within a few days to weeks, making early recognition and management important to alleviate discomfort and prevent unnecessary interventions.

Causes & Symptoms

Clinical Causes: Viral infections, particularly those caused by the influenza virus or Epstein-Barr virus Recent injury or trauma to the shoulder Immune system reactions or allergies Other inflammatory conditions that might affect the joint

Key Symptoms: Sudden onset of shoulder pain that worsens with movement Swelling or warmth around the shoulder joint Limited range of motion in the shoulder, especially when trying to lift or rotate the arm Possible mild fever or general malaise Tenderness when the shoulder area is touched

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a healthcare provider conducting a physical examination and reviewing the patient's medical history. They may request imaging studies such as ultrasound or X-rays to rule out other conditions like fractures or more serious infections. Blood tests can also be performed to check for signs of infection or inflammation. Often, transient synovitis is diagnosed by excluding other causes of shoulder pain and swelling.

Treatment Protocols: Rest and activity restriction to prevent aggravation of symptoms Application of ice packs to reduce swelling and discomfort Use of over-the-counter pain relievers such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs), if recommended by a healthcare professional Monitoring symptoms for improvement and ensuring no signs of worsening or underlying issues

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 M67.311 a billable ICD-10 code?
Yes, M67.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M67.311?
Clinical documentation must specify the nature of Transient synovitis, right shoulder and any associated comorbidities for accurate reporting.

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