ICD Code M60.142

ICD code M60142 is used to classify and document the diagnosis of interstitial myositis specifically affecting the left hand. Interstitial myositis is a type of inflammatory muscle disease characterized by inflammation and degeneration of the muscle tissue, which can lead to muscle weakness and discomfort. This particular code helps healthcare providers accurately record the condition for the left hand, ensuring precise communication for treatment planning, billing, and statistical purposes within the healthcare system.

When to use the ICD code for Interstitial Myositis, Left Hand:

1. Presence of Muscle Weakness
- Generalized weakness in the affected area, specifically the left hand.

2. Muscle Pain
- Complaints of pain localized to the left hand, which may worsen with activity.

3. Inflammation Indicators
- Signs of inflammation such as swelling or tenderness in the left hand.

4. Limited Range of Motion
- Difficulty or pain when attempting to move the fingers or wrist of the left hand.

5. Fatigue
- Increased fatigue during daily activities that involve the left hand.

6. Muscle Atrophy
- Observable reduction in muscle mass or strength in the left hand over time.

7. Diagnostic Imaging Findings
- MRI or ultrasound results indicating inflammation or damage to the muscle tissue in the left hand.

8. Laboratory Test Results
- Elevated muscle enzymes (e.g., creatine kinase) or positive autoantibodies associated with myositis.

9. Exclusion of Other Conditions
- Ruling out other potential causes of symptoms, such as trauma or other inflammatory conditions affecting the hand.

10. Clinical Evaluation
- Comprehensive assessment by a healthcare provider confirming the diagnosis based on clinical criteria and patient history.

For the ICD code M60.142, which pertains to interstitial myositis of the left hand, the relevant CPT codes that may be applicable for treatment could include:

1. 20552 - Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s).

2. 20553 - Injection(s); single or multiple trigger point(s), 3 or more muscles.

3. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

4. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities (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. 99201-99215 - Evaluation and management services, depending on the complexity and time spent with the patient.

These CPT codes are examples of procedures and services that might be used in the management and treatment of interstitial myositis of the left hand. It is important for healthcare providers to select the most appropriate CPT codes based on the specific services rendered and the clinical scenario.

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