ICD Code M54.01

ICD code M54.01 is used to classify and document a medical diagnosis of panniculitis affecting the regions of the neck and back, specifically in the occipito-atlanto-axial region. Panniculitis refers to the inflammation of the subcutaneous fat layer beneath the skin, which can cause pain, swelling, and tenderness. The occipito-atlanto-axial region is located at the upper part of the spine, where the skull meets the first two cervical vertebrae. This code helps healthcare providers accurately record and communicate this specific condition for treatment planning, billing, and statistical purposes.

When determining the appropriate use of the ICD code M5401, consider the following diagnostic criteria and symptoms:

1. Location of Symptoms:
- Presence of panniculitis specifically affecting the neck and back regions, particularly the occipito-atlanto-axial area.

2. Clinical Presentation:
- Swelling or inflammation in the affected regions.
- Tenderness or pain localized to the neck and back.

3. Skin Changes:
- Noticeable changes in the skin overlying the affected areas, such as erythema (redness) or induration (hardening).

4. Systemic Symptoms:
- Possible accompanying systemic symptoms such as fever or malaise, indicating an inflammatory process.

5. Exclusion of Other Conditions:
- Rule out other potential causes of neck and back pain or inflammation, ensuring that the diagnosis aligns specifically with panniculitis.

6. Diagnostic Imaging:
- Utilization of imaging studies (e.g., MRI or CT scans) that may reveal inflammation or changes in the subcutaneous tissue in the specified regions.

7. Histological Confirmation:
- If applicable, histological examination confirming the presence of panniculitis in biopsy samples from the affected area.

8. Duration of Symptoms:
- Consideration of the duration of symptoms, as chronicity may influence the diagnosis and coding.

9. Response to Treatment:
- Evaluation of the patient's response to initial treatments, which may provide further insight into the diagnosis of panniculitis.

By adhering to these criteria, healthcare providers can ensure accurate coding and appropriate documentation for cases related to panniculitis affecting the specified regions.

For the ICD code M54.01, which pertains to panniculitis affecting regions of the neck and back, occipito-atlanto-axial region, the relevant CPT codes that may be applicable for treatment could include:

1. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

2. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

3. 64450 - Injection, anesthetic agent; other peripheral nerve or branch.

4. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

5. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are examples of procedures that might be used in the management or treatment of conditions associated with the specified ICD code. It's important to consult with a healthcare professional or coding specialist to determine the most appropriate CPT codes based on the specific clinical scenario and treatment plan.

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