ICD Code M60.019

ICD code M60.019 is used to classify a medical diagnosis of infective myositis in an unspecified shoulder. Myositis refers to inflammation of the muscles, and when it is described as "infective," it indicates that the inflammation is due to an infection, which could be bacterial, viral, or fungal in nature. The term "unspecified shoulder" means that the specific shoulder affected—whether left or right—has not been identified in the diagnosis. This code is used by healthcare providers to document and communicate this particular condition for billing, treatment planning, and statistical purposes.

When considering the use of the ICD code M60019 for infective myositis, unspecified shoulder, the following diagnostic criteria and symptoms should be evaluated:

1. Clinical Presentation:
- Patient reports localized pain in the shoulder region.
- Swelling or tenderness observed in the shoulder area.

2. Muscle Weakness:
- Notable weakness in the shoulder muscles, affecting range of motion.

3. Systemic Symptoms:
- Presence of fever or chills indicating a possible infectious process.
- Fatigue or malaise reported by the patient.

4. Laboratory Findings:
- Elevated inflammatory markers (e.g., C-reactive protein, erythrocyte sedimentation rate).
- Positive cultures or serological tests indicating infection.

5. Imaging Studies:
- MRI or ultrasound findings showing muscle inflammation or edema in the shoulder region.

6. Exclusion of Other Conditions:
- Rule out other causes of shoulder pain, such as rotator cuff injuries or osteoarthritis.
- Ensure that other types of myositis (e.g., autoimmune) are not present.

7. Duration of Symptoms:
- Symptoms persisting for a duration consistent with an infectious process, typically more than a few days.

8. Response to Treatment:
- Evaluation of the patient's response to initial treatment for infection, such as antibiotics, if applicable.

These criteria should be carefully assessed to determine the appropriateness of using the ICD code M60019 in clinical documentation and billing processes.

For the ICD code M60.019, which pertains to infective myositis of an unspecified shoulder, the relevant CPT codes that may be applicable for treatment or procedures 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 and treatments that might be considered in the management of conditions associated with the ICD code M60.019. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment plan and services provided to the patient.

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