ICD Code M60.211

ICD code M60211 refers to a foreign body granuloma of the soft tissue in the right shoulder, which is not classified elsewhere. This condition occurs when the body's immune system reacts to a foreign substance that has entered the soft tissue, leading to the formation of a granuloma. A granuloma is a small area of inflammation caused by the body's attempt to isolate and remove the foreign material. In this case, the granuloma is specifically located in the soft tissue of the right shoulder and is not categorized under any other specific classification within the ICD coding system.

When to use the ICD code for a foreign body granuloma of soft tissue, not elsewhere classified, right shoulder:

1. Presence of a Foreign Body: Documented evidence of a foreign object embedded in the soft tissue of the right shoulder.

2. Granulomatous Inflammation: Histological confirmation of granulomatous inflammation in the affected area, indicating a chronic inflammatory response.

3. Localized Symptoms: Patient reports localized symptoms such as:

- Pain or tenderness in the right shoulder

- Swelling or edema in the area of the foreign body

- Redness or warmth over the affected site

4. Absence of Infection: No signs of acute infection, such as fever, purulent drainage, or systemic symptoms that would suggest an infectious process.

5. Diagnostic Imaging: Imaging studies (e.g., X-ray, ultrasound, or MRI) that reveal the presence of a foreign body and associated soft tissue changes.

6. Exclusion of Other Conditions: Differential diagnosis has ruled out other potential causes of granulomatous inflammation or soft tissue masses in the right shoulder.

7. Chronicity of Symptoms: Symptoms have persisted for a duration that suggests a chronic condition rather than an acute injury or infection.

8. Clinical Documentation: Comprehensive clinical documentation supporting the diagnosis, including patient history, physical examination findings, and any relevant laboratory results.

For the ICD code M60.211, which pertains to a foreign body granuloma of soft tissue in the right shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 20520 - Removal of foreign body in muscle or tendon sheath; simple.

2. 20525 - Removal of foreign body in muscle or tendon sheath; deep or complicated.

3. 23030 - Incision and drainage, shoulder area; deep abscess or hematoma.

4. 23930 - Removal of foreign body, shoulder; deep.

These CPT codes are typically used for procedures involving the removal of foreign bodies or treatment of granulomas in the soft tissue of the shoulder area. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case.

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