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M35.7
ICD-10-CM
Hypermobility Syndrome

Find key information on Hypermobility Syndrome including clinical documentation, medical coding, diagnostic criteria, and healthcare management. This resource covers relevant ICD-10 codes, Ehlers-Danlos Syndrome comparisons, Beighton score interpretation, joint hypermobility symptoms, and treatment options. Learn about best practices for documenting hypermobility in medical records, coding for insurance reimbursement, and understanding the latest research on this condition. Explore resources for patients and healthcare providers seeking comprehensive information on Hypermobility Syndrome.

Also known as

Joint Hypermobility Syndrome
Benign Joint Hypermobility Syndrome

Diagnosis Snapshot

Key Facts
  • Definition : Generalized joint laxity exceeding normal range of motion, often causing pain.
  • Clinical Signs : Joint pain, clicking, dislocations, soft tissue injuries, hyperflexible joints.
  • Common Settings : Primary care, rheumatology, physical therapy, orthopedics, pain management.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M35.7 Coding
M35.7

Hypermobility syndrome

Generalized joint hypermobility with musculoskeletal symptoms.

M24.2-

Joint derangement

Covers various internal joint derangements like recurrent dislocation that can be associated with hypermobility.

M25.5-

Pain in joint

Includes arthralgia and related pain often experienced in hypermobility syndrome.

M79.7-

Fibromyalgia

Sometimes overlaps with hypermobility syndrome due to chronic widespread pain.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Generalized joint hypermobility present?

  • Yes

    Beighton score >= 4 (adult) or >= 6 (child)?

  • No

    Do not code hypermobility syndrome. Code any specific joint findings if present.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Generalized joint hypermobility
Hypermobile Ehlers-Danlos syndrome (hEDS)
Joint Hypermobility Spectrum Disorder (JHS/JHSD)

Documentation Best Practices

Documentation Checklist
  • Hypermobility Syndrome diagnosis: Beighton score documented.
  • Hypermobility Syndrome symptoms: Pain, joint instability noted.
  • Hypermobility Syndrome: Family history documented if present.
  • Hypermobility Syndrome: Impact on daily activities described.
  • Hypermobility Syndrome: Other diagnoses considered/excluded.

Coding and Audit Risks

Common Risks
  • Unspecified Hypermobility

    Coding M35.7 (Hypermobility syndrome) without specifying joint(s) affected lacks clinical detail and may impact reimbursement or quality reporting.

  • Benign Joint Hypermobility vs. HMS

    Miscoding benign joint hypermobility as HMS (M35.7) can inflate HMS prevalence, skewing epidemiological data and potentially leading to unnecessary interventions.

  • Ehlers-Danlos Overlap

    Failing to differentiate HMS (M35.7) from Ehlers-Danlos syndromes, especially hEDS, may lead to inaccurate diagnosis and management, impacting compliance and patient safety.

Mitigation Tips

Best Practices
  • Document joint hypermobility using ICD-10 M35.7, improve CDI for accurate billing.
  • Assess Beighton score for hypermobility, enhance medical coding specificity.
  • Focus patient history on pain, instability for optimal HMS diagnosis documentation.
  • Prioritize physical therapy for HMS, document treatment plan for compliance.
  • Educate patients on joint protection strategies, note in medical record for improved care.

Clinical Decision Support

Checklist
  • Beighton score >=4 (adults) or >=6 (children)
  • Generalized joint hypermobility symptoms documented
  • Other systemic features (e.g., skin, cardiac) reviewed
  • Differential diagnoses (e.g., EDS, Marfan) considered
  • Patient education on injury prevention provided

Reimbursement and Quality Metrics

Impact Summary
  • Hypermobility Syndrome reimbursement hinges on accurate coding (Ehlers-Danlos subtypes, M35.7) impacting hospital revenue cycle.
  • Quality metrics for Hypermobility Syndrome are limited, focusing on pain management and functional outcomes affecting hospital reporting.
  • Coding variances for Hypermobility vs. related joint disorders (M25.5) affect denial rates and reimbursement accuracy.
  • Documentation of specific joint involvement and functional limitations is crucial for appropriate Hypermobility Syndrome billing and quality reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code primary hypermobility M35.7
  • Check for associated EDS codes
  • Document Beighton score for HMS
  • Use 'benign' if no functional impact
  • Code secondary conditions specifically

Documentation Templates

Patient presents with complaints consistent with Hypermobility Syndrome, also known as Joint Hypermobility Syndrome and Benign Joint Hypermobility Syndrome.  The patient reports generalized joint hypermobility,  joint pain, and frequent joint subluxations or dislocations.  Symptoms include chronic widespread pain, particularly in the knees, ankles, shoulders, and elbows.  The patient also experiences clicking or popping in the joints and reports a history of soft tissue injuries such as sprains and strains.  Physical examination reveals Beighton score of [insert Beighton score] indicating generalized joint laxity.  Differential diagnoses considered include Ehlers-Danlos Syndrome, Marfan Syndrome, and other connective tissue disorders.  Assessment supports the diagnosis of Hypermobility Syndrome based on the patient's history, physical findings, and absence of features suggestive of other related conditions.  The patient was educated on activity modification, joint protection strategies, and the importance of physical therapy for strengthening and improving proprioception.  A referral to physical therapy was made.  Patient was also advised on pain management techniques including over-the-counter analgesics such as NSAIDs and heat or cold therapy.  Follow-up scheduled to monitor symptom management and functional improvement.  ICD-10 code M35.7 (Hypermobility syndrome) is applied.  Future plans may include referral to occupational therapy for adaptive equipment or assistive devices if functional limitations persist.