ICD CODES

ICD Code M60.076

ICD code M60076 is a classification for infective myositis in the right toe(s), used to standardize diagnosis and treatment documentation.

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What is ICD diagnosis code M60.076

ICD code M60.076 is used to classify and document a medical diagnosis of infective myositis specifically affecting the right toe(s). 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. This code helps healthcare providers accurately record and communicate the specific location and nature of the condition for purposes such as treatment planning, billing, and statistical analysis.

When to use ICD code M60.076

When to use the ICD code for Infective Myositis, Right Toe(s):

1. Presence of Symptoms:
- Localized pain in the right toe(s)
- Swelling or edema in the affected area
- Redness or erythema around the toe(s)
- Warmth or increased temperature in the affected toe(s)

2. Clinical Findings:
- Tenderness upon palpation of the right toe(s)
- Limited range of motion in the affected toe(s)
- Muscle weakness in the surrounding area

3. Diagnostic Imaging:
- Evidence of inflammation or infection in imaging studies (e.g., MRI, ultrasound) specific to the right toe(s)

4. Laboratory Tests:
- Positive cultures indicating the presence of infectious agents (bacteria, fungi, etc.)
- Elevated inflammatory markers (e.g., C-reactive protein, erythrocyte sedimentation rate)

5. Patient History:
- Recent history of trauma or injury to the right toe(s)
- Underlying conditions that predispose to infections (e.g., diabetes, immunocompromised state)
- Recent surgical procedures involving the foot or toe(s)

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

7. Differential Diagnosis:
- Exclusion of other potential causes of toe pain and swelling (e.g., gout, trauma, other inflammatory conditions)

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

Billable CPT codes for ICD code M60.076

For the ICD code M60.076, which pertains to infective myositis of the right toe(s), the relevant CPT codes that may be applicable for treatment could include:

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

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

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

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

5. CPT 27301 - Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region.

6. CPT 27603 - Incision and drainage, leg or ankle; deep abscess or hematoma.

These CPT codes are examples of procedures that might be performed to address conditions related to infective myositis in the right toe(s). The selection of the appropriate CPT code would depend on the specific treatment plan and procedures performed by the healthcare provider. Always consult with a coding specialist or refer to the latest CPT coding guidelines for accurate coding.

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