Not Valid for Submission
M67.4 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of ganglion. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Ganglion
Header codes like M67.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for ganglion:
- M67.40 - ... unspecified site
- M67.41 - ... shoulder
- M67.411 - ... right shoulder
- M67.412 - ... left shoulder
- M67.419 - ... unspecified shoulder
- M67.42 - ... elbow
- M67.421 - ... right elbow
- M67.422 - ... left elbow
- M67.429 - ... unspecified elbow
- M67.43 - ... wrist
- M67.431 - ... right wrist
- M67.432 - ... left wrist
- M67.439 - ... unspecified wrist
- M67.44 - ... hand
- M67.441 - ... right hand
- M67.442 - ... left hand
- M67.449 - ... unspecified hand
- M67.45 - ... hip
- M67.451 - ... right hip
- M67.452 - ... left hip
- M67.459 - ... unspecified hip
- M67.46 - ... knee
- M67.461 - ... right knee
- M67.462 - ... left knee
- M67.469 - ... unspecified knee
- M67.47 - ... ankle and foot
- M67.471 - ... right ankle and foot
- M67.472 - ... left ankle and foot
- M67.479 - ... unspecified ankle and foot
- M67.48 - ... other site
- M67.49 - ... multiple sites
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M67.4:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Ganglion of joint or tendon (sheath)
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- ganglion in yaws A66.6
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- BASAL GANGLIA-. large subcortical nuclear masses derived from the telencephalon and located in the basal regions of the cerebral hemispheres.
- BONE CYSTS-. benign unilocular lytic areas in the proximal end of a long bone with well defined and narrow endosteal margins. the cysts contain fluid and the cyst walls may contain some giant cells. bone cysts usually occur in males between the ages 3 15 years.
- FACIAL NERVE DISEASES-. diseases of the facial nerve or nuclei. pontine disorders may affect the facial nuclei or nerve fascicle. the nerve may be involved intracranially along its course through the petrous portion of the temporal bone or along its extracranial course. clinical manifestations include facial muscle weakness loss of taste from the anterior tongue hyperacusis and decreased lacrimation.
- GANGLIA AUTONOMIC-. clusters of neurons and their processes in the autonomic nervous system. in the autonomic ganglia the preganglionic fibers from the central nervous system synapse onto the neurons whose axons are the postganglionic fibers innervating target organs. the ganglia also contain intrinsic neurons and supporting cells and preganglionic fibers passing through to other ganglia.
- GANGLIA PARASYMPATHETIC-. ganglia of the parasympathetic nervous system including the ciliary pterygopalatine submandibular and otic ganglia in the cranial region and intrinsic terminal ganglia associated with target organs in the thorax and abdomen.
- GANGLIA SPINAL-. sensory ganglia located on the dorsal spinal roots within the vertebral column. the spinal ganglion cells are pseudounipolar. the single primary branch bifurcates sending a peripheral process to carry sensory information from the periphery and a central branch which relays that information to the spinal cord or brain.
- GANGLIA SYMPATHETIC-. ganglia of the sympathetic nervous system including the paravertebral and the prevertebral ganglia. among these are the sympathetic chain ganglia the superior middle and inferior cervical ganglia and the aorticorenal celiac and stellate ganglia.
- GANGLIONEUROMA-. a benign neoplasm that usually arises from the sympathetic trunk in the mediastinum. histologic features include spindle cell proliferation resembling a neurofibroma and the presence of large ganglion cells. the tumor may present clinically with horner syndrome or diarrhea due to ectopic production of vasoactive intestinal peptide. from devita et al. cancer: principles and practice of oncology 5th ed p966
- GANGLIONIC BLOCKERS-. agents having as their major action the interruption of neural transmission at nicotinic receptors on postganglionic autonomic neurons. because their actions are so broad including blocking of sympathetic and parasympathetic systems their therapeutic use has been largely supplanted by more specific drugs. they may still be used in the control of blood pressure in patients with acute dissecting aortic aneurysm and for the induction of hypotension in surgery.
- GANGLIONIC STIMULANTS-. agents that mimic neural transmission by stimulation of the nicotinic receptors on postganglionic autonomic neurons. drugs that indirectly augment ganglionic transmission by increasing the release or slowing the breakdown of acetylcholine or by non nicotinic effects on postganglionic neurons are not included here nor are the nonspecific cholinergic agonists.
- GENICULATE GANGLION-. the sensory ganglion of the facial 7th cranial nerve. the geniculate ganglion cells send central processes to the brain stem and peripheral processes to the taste buds in the anterior tongue the soft palate and the skin of the external auditory meatus and the mastoid process.
- NODOSE GANGLION-. the inferior caudal ganglion of the vagus 10th cranial nerve. the unipolar nodose ganglion cells are sensory cells with central projections to the medulla and peripheral processes traveling in various branches of the vagus nerve.
- RETINAL GANGLION CELLS-. neurons of the innermost layer of the retina the internal plexiform layer. they are of variable sizes and shapes and their axons project via the optic nerve to the brain. a small subset of these cells act as photoreceptors with projections to the suprachiasmatic nucleus the center for regulating circadian rhythm.
- TRIGEMINAL GANGLION-. the semilunar shaped ganglion containing the cells of origin of most of the sensory fibers of the trigeminal nerve. it is situated within the dural cleft on the cerebral surface of the petrous portion of the temporal bone and gives off the ophthalmic maxillary and part of the mandibular nerves.
- SPIRAL GANGLION-. the sensory ganglion of the cochlear nerve. the cells of the spiral ganglion send fibers peripherally to the cochlear hair cells and centrally to the cochlear nuclei of the brain stem.
- STELLATE GANGLION-. a paravertebral sympathetic ganglion formed by the fusion of the inferior cervical and first thoracic ganglia.
- VESTIBULAR NERVE-. the vestibular part of the 8th cranial nerve vestibulocochlear nerve. the vestibular nerve fibers arise from neurons of scarpa's ganglion and project peripherally to vestibular hair cells and centrally to the vestibular nuclei of the brain stem. these fibers mediate the sense of balance and head position.
- GANGLIONECTOMY-. removal of an autonomic or sensory ganglion by any means.
- HERPES ZOSTER OTICUS-. a syndrome characterized by facial palsy in association with a herpetic eruption of the external auditory meatus. this may occasionally be associated with tinnitus vertigo deafness severe otalgia and inflammation of the pinna. the condition is caused by reactivation of a latent herpesvirus 3 human infection which causes inflammation of the facial and vestibular nerves and may occasionally involve additional cranial nerves. from adams et al. principles of neurology 6th ed p757
- SUPERIOR CERVICAL GANGLION-. the largest and uppermost of the paravertebral sympathetic ganglia.
- GANGLIA SENSORY-. clusters of neurons in the somatic peripheral nervous system which contain the cell bodies of sensory nerve axons. sensory ganglia may also have intrinsic interneurons and non neuronal supporting cells.
- GANGLIA INVERTEBRATE-. clusters of neuronal cell bodies in invertebrates. invertebrate ganglia may also contain neuronal processes and non neuronal supporting cells. many invertebrate ganglia are favorable subjects for research because they have small numbers of functional neuronal types which can be identified from one animal to another.
- GANGLIONEUROBLASTOMA-. a moderately malignant neoplasm composed of primitive neuroectodermal cells dispersed in myxomatous or fibrous stroma intermixed with mature ganglion cells. it may undergo transformation into a neuroblastoma. it arises from the sympathetic trunk or less frequently from the adrenal medulla cerebral cortex and other locations. cervical ganglioneuroblastomas may be associated with horner syndrome and the tumor may occasionally secrete vasoactive intestinal peptide resulting in chronic diarrhea.
- BASAL GANGLIA HEMORRHAGE-. bleeding within the subcortical regions of cerebral hemispheres basal ganglia. it is often associated with hypertension or arteriovenous malformations. clinical manifestations may include headache; dyskinesias; and hemiparesis.
- GANGLION CYSTS-. nodular tumor like lesions or mucoid flesh arising from tendon sheaths ligaments or joint capsule especially of the hands wrists or feet. they are not true cysts as they lack epithelial wall. they are distinguished from synovial cysts by the lack of communication with a joint cavity or the synovial membrane.
- SPHENOPALATINE GANGLION BLOCK-. method of treating pain associated with the sphenopalatine ganglion located in the pterygopalatine fossa posterior to the middle nasal turbinate. the transnasal approach involves application of suitable local anesthetic to the mucous membrane overlying the ganglion.
Information for Patients
Connective Tissue Disorders
Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.
Over 200 disorders that impact connective tissue. There are different types:
- Genetic disorders, such as Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta
- Autoimmune disorders, such as lupus and scleroderma
- Cancers, like some types of soft tissue sarcoma
Each disorder has its own symptoms and needs different treatment.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Dupuytrens contracture (Medical Encyclopedia)