ICD Code M60.011

ICD code M60.011 is used to classify and document a diagnosis of infective myositis specifically affecting the right shoulder. Infective myositis refers to an inflammation of the muscle tissue caused by an infection, which can result in symptoms such as pain, swelling, and weakness in the affected area. This code helps healthcare providers accurately record and communicate the condition for purposes such as treatment planning, billing, and statistical analysis.

When to use the ICD code for Infective Myositis, Right Shoulder:

1. Presence of Symptoms:
- Localized pain in the right shoulder
- Swelling or inflammation in the shoulder area
- Muscle weakness in the right shoulder

2. Clinical Findings:
- Tenderness upon palpation of the right shoulder muscles
- Limited range of motion in the right shoulder joint
- Signs of systemic infection (e.g., fever, chills)

3. Diagnostic Imaging:
- MRI or ultrasound showing inflammation or infection in the right shoulder muscles
- X-ray results ruling out fractures or other structural abnormalities

4. Laboratory Tests:
- Elevated inflammatory markers (e.g., C-reactive protein, erythrocyte sedimentation rate)
- Positive cultures from muscle biopsy or aspirate indicating infectious agents

5. Patient History:
- Recent history of infection (e.g., skin infection, systemic infection)
- History of trauma or injury to the right shoulder
- Underlying conditions that may predispose to infection (e.g., immunocompromised state)

6. Response to Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, anti-inflammatory medications)
- Need for further intervention such as antibiotics or surgical drainage

These criteria should be carefully evaluated to determine the appropriate use of the ICD code for this condition.

For the ICD code M60.011, which pertains to infective myositis of the right shoulder, 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. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

4. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

5. 29280 - Strapping; shoulder (e.g., Velpeau).

6. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

7. 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 ICD code M60.011. The selection of appropriate CPT codes should be based on the specific clinical scenario and the services provided. Always consult with a coding specialist or refer to the latest coding guidelines to ensure accurate coding and billing practices.

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