ICD Code M60.012

ICD code M60.012 is used to classify and document a diagnosis of infective myositis specifically affecting the left 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 reduced mobility in the affected area. This code helps healthcare providers accurately record and communicate the specific location and nature of the condition for treatment planning, billing, and statistical purposes.

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

1. Presence of Symptoms:
- Localized pain in the left shoulder
- Swelling or tenderness in the affected area
- Muscle weakness in the left shoulder or arm
- Fever or systemic signs of infection

2. Clinical Findings:
- Evidence of inflammation in the left shoulder muscles upon physical examination
- Palpable warmth or erythema over the affected muscle group

3. Diagnostic Imaging:
- MRI or ultrasound findings indicating muscle edema or abscess formation in the left shoulder region

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, respiratory, or systemic infections)
- History of trauma or injury to the left shoulder
- Immunocompromised status or underlying conditions that predispose to infections

6. Response to Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, anti-inflammatory medications)
- Requirement for antibiotic therapy or surgical intervention due to worsening symptoms or confirmed infection

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

For the ICD code M60.012, which pertains to infective myositis of the left 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 treatment of infective myositis of the left shoulder, depending on the specific clinical scenario and treatment plan determined by the healthcare provider. Always consult with a coding specialist or the latest coding guidelines to ensure accurate coding for billing and reimbursement purposes.

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