M67.3
M67.3 — Transient synovitis
Non-billable headerICD-10-CM
M67.3 is a non-billable header ICD-10-CM code for transient synovitis. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- palindromic rheumatism (M12.3-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Toxic synovitis
Risk adjustment
M67.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M67.3
10 child codes. Green means billable.
- M67.30Transient synovitis, unspecified site
- M67.31Transient synovitis, shoulder
- M67.32Transient synovitis, elbow
- M67.33Transient synovitis, wrist
- M67.34Transient synovitis, hand
- M67.35Transient synovitis, hip
- M67.36Transient synovitis, knee
- M67.37Transient synovitis, ankle and foot
- M67.38Transient synovitis, other site
- M67.39Transient synovitis, multiple sites
Related codes at this level
Codes that share M67. If M67.3 is not quite right, the correct code is usually one of these.
Questions about M67.3
- Is M67.3 a billable ICD-10-CM code?
- No. M67.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M67.3 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of synovium and tendon (M65-M67).
- What cannot be coded together with M67.3?
- M67.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.