ICD Code M60.111

ICD code M60.111 is used to identify a medical diagnosis of interstitial myositis affecting the right shoulder. Interstitial myositis is a condition characterized by inflammation of the muscle tissue, which can lead to muscle weakness and pain. This specific code helps healthcare providers and billing professionals accurately document and communicate the diagnosis for treatment and reimbursement purposes. By using this code, healthcare providers can ensure that the patient's medical records reflect the precise nature and location of the condition, facilitating effective care management and appropriate billing processes.

When to use the ICD code for interstitial myositis of the right shoulder:

1. Presence of Muscle Weakness
- Patient exhibits significant weakness in the right shoulder muscles.

2. Muscle Pain or Discomfort
- Patient reports localized pain or discomfort in the right shoulder area.

3. Inflammatory Symptoms
- Signs of inflammation such as swelling or tenderness in the right shoulder.

4. Limited Range of Motion
- Patient experiences restricted movement or stiffness in the right shoulder joint.

5. Fatigue
- Patient reports generalized fatigue that may accompany muscle symptoms.

6. Diagnostic Imaging Findings
- MRI or ultrasound reveals signs of inflammation or damage in the muscle tissue of the right shoulder.

7. Laboratory Test Results
- Elevated muscle enzymes (e.g., creatine kinase) or positive autoantibodies indicative of myositis.

8. Exclusion of Other Conditions
- Other potential causes of shoulder pain or muscle weakness have been ruled out through clinical evaluation.

9. Chronic Symptoms
- Symptoms have persisted for an extended period, typically more than a few weeks, indicating a chronic condition.

10. Response to Treatment
- Patient shows a lack of improvement with standard treatments for shoulder pain, suggesting an underlying myositis condition.

For the ICD code M60.111, which pertains to interstitial 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. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

5. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

6. 99213 - Established patient office or other outpatient visit, typically 15 minutes.

These CPT codes are commonly used in the treatment and management of conditions related to interstitial myositis of the shoulder, focusing on injections, physical therapy, and evaluation and management services. Always ensure that the selected CPT codes align with the specific services provided and the patient's treatment plan.

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