ICD Code M60.003

ICD code M60.003 is used to classify a medical diagnosis of infective myositis in the unspecified right leg. Myositis refers to inflammation of the muscles, and when it is termed "infective," it indicates that the inflammation is due to an infection, which could be bacterial, viral, or fungal in nature. The term "unspecified" suggests that while the condition is identified in the right leg, the specific details about the type of infection or the exact location within the leg are not detailed in the diagnosis. This code helps healthcare providers and billing professionals accurately document and process claims related to this specific condition.

When considering the use of the ICD code M60003 for infective myositis, unspecified right leg, the following diagnostic criteria and symptoms should be evaluated:

1. Clinical Presentation:
- Patient exhibits muscle weakness or pain in the right leg.
- Swelling or inflammation of the muscle tissue in the right leg.

2. Laboratory Findings:
- Elevated muscle enzymes (e.g., creatine kinase) indicating muscle damage.
- Positive laboratory tests for infectious agents (e.g., bacteria, viruses) if applicable.

3. Imaging Studies:
- MRI or ultrasound shows signs of muscle inflammation or edema in the right leg.
- Abscess formation or other abnormalities in the muscle tissue.

4. Patient History:
- Recent history of infection or illness that could predispose to myositis.
- Any recent trauma or surgery involving the right leg.

5. Physical Examination:
- Tenderness upon palpation of the right leg muscles.
- Limited range of motion or functional impairment in the right leg.

6. Exclusion of Other Conditions:
- Rule out other causes of muscle inflammation or pain (e.g., autoimmune disorders, trauma).
- Ensure that the symptoms cannot be attributed to other musculoskeletal conditions.

7. Response to Treatment:
- Observation of improvement or worsening of symptoms following initiation of appropriate treatment for infection.

These criteria should be thoroughly assessed to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M60.003, which pertains to infective myositis of the unspecified right leg, the relevant CPT codes that may be applicable for treatment include:

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

2. 20551 - Injection(s); single tendon origin/insertion.

3. 20600 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

4. 20605 - Arthrocentesis, aspiration and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

5. 20610 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance.

6. 96372 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.

These CPT codes are commonly used for procedures that may be involved in the treatment of conditions related to infective myositis. However, the specific choice of CPT code will depend on the exact nature of the treatment provided and the clinical judgment of the healthcare provider. Always ensure that the selected CPT codes accurately reflect the services rendered and are supported by the documentation in the patient's medical record.

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