M67.34 ICD-10-CM Code: Transient synovitis, hand

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for M67.34 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on M67.34 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for M67.34

MedCoder structured workflow — derived from this code’s own official record

Before you code M67.34

1. M67.34 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

   ReviewM67.341, M67.342, M67.349

   See the relationships section · Guide: How to choose an ICD-10-CM code →

2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with M67.34. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

   See the official tabular notes

Choose the right path

1. Does the documentation support one of the more specific codes beneath M67.34?
   Yes → Select that code and continue the checks below on its own page.
   No → M67.34 cannot be reported as written; query for the specificity its subcategory needs.

   ReviewM67.341, M67.342, M67.349

2. Does the documentation support a condition named in M67.34’s Excludes1 note?
   Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
   No → Continue.

   ReviewM12.3, M77.9, E78.2

Consider M67.34. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Anatomical site

At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.

Official instructions as workflow

• Excludes1 — check before selecting M67.34(4 notes)

  Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with M67.34: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

  CompareM12.3, M77.9, E78.2

  See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse M67.34 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of M67.34 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• M12.3— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of palindromic rheumatism moves the case to M12.3; the two are not reported together unless documented as unrelated.

  Full comparison: M67.34 vs M12.3 →

• M77.9— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of tendinitis NOS moves the case to M77.9; the two are not reported together unless documented as unrelated.

  Full comparison: M67.34 vs M77.9 →

• E78.2— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of xanthomatosis localized to tendons moves the case to E78.2; the two are not reported together unless documented as unrelated.

  Full comparison: M67.34 vs E78.2 →

• M67.30— Specificity relationship (Review)

  Overlapping diagnoses in the same category.

  Overlapping codes in the same category — the documentation decides which is the more specific fit.

  What moves you there: A record that documents no more than “Transient synovitis, unspecified site” takes M67.30; specificity in the record moves it back here.

  Full comparison: M67.34 vs M67.30 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Verify Before Coding

• Not billable as written — a more specific code is required: M67.341, M67.342, M67.349.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Synovitis”; these codes share that main term but sit in a different category of the Tabular List.

M12.23 — Villonodular synovitis (pigmented), wrist (villonodular, wrist), M12.24 — Villonodular synovitis (pigmented), hand (villonodular, hand joint), M12.25 — Villonodular synovitis (pigmented), hip (villonodular, hip), M12.26 — Villonodular synovitis (pigmented), knee (villonodular, knee), M12.27 — Villonodular synovitis (pigmented), ankle and foot (villonodular, ankle), M12.28 — Villonodular synovitis (pigmented), other specified site (villonodular, vertebrae), M12.29 — Villonodular synovitis (pigmented), multiple sites (villonodular, multiple site), M65.8 — Other synovitis and tenosynovitis (in, crystals), M65.90 — Unspecified synovitis and tenosynovitis, unspecified site, M65.91 — Unspecified synovitis and tenosynovitis, shoulder (shoulder), M65.92 — Unspecified synovitis and tenosynovitis, upper arm (arm, upper), M65.93 — Unspecified synovitis and tenosynovitis, forearm (forearm), M65.94 — Unspecified synovitis and tenosynovitis, hand (hand), M65.95 — Unspecified synovitis and tenosynovitis, thigh (thigh), M65.96 — Unspecified synovitis and tenosynovitis, lower leg (leg, lower), M65.97 — Unspecified synovitis and tenosynovitis, ankle and foot (ankle and foot), M65.98 — Unspecified synovitis and tenosynovitis, other site (specified site, unspecified type), M65.99 — Unspecified synovitis and tenosynovitis, multiple sites (multiple sites, unspecified type), M70.03 — Crepitant synovitis (acute) (chronic), wrist (crepitant, wrist), M70.04 — Crepitant synovitis (acute) (chronic), hand (crepitant, hand), +6 more

Contextual Map

Every relationship of M67.34 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

• M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M65-M67 — Disorders of synovium and tendon[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Nearest codes (40)

• M67 — Other disorders of synovium and tendon[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.27 — Synovial hypertrophy, not elsewhere classified, ankle and foot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.271 — Synovial hypertrophy, not elsewhere classified, right ankle and foot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.272 — Synovial hypertrophy, not elsewhere classified, left ankle and foot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.279 — Synovial hypertrophy, not elsewhere classified, unspecified ankle and foot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.28 — Synovial hypertrophy, not elsewhere classified, other site[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.29 — Synovial hypertrophy, not elsewhere classified, multiple sites[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• M67.3 — Transient synovitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M67.34 in its code family, with their registry titles.

• M67.329 — Transient synovitis, unspecified elbow
• M67.33 — Transient synovitis, wrist
• M67.331 — Transient synovitis, right wrist
• M67.332 — Transient synovitis, left wrist
• M67.339 — Transient synovitis, unspecified wrist
• M67.341 — Transient synovitis, right hand
• M67.342 — Transient synovitis, left hand
• M67.349 — Transient synovitis, unspecified hand
• M67.35 — Transient synovitis, hip
• M67.351 — Transient synovitis, right hip

View all codes in the M67 family