ICD Code M60.212

ICD code M60.212 refers to a foreign body granuloma of soft tissue, not elsewhere classified, specifically located in the left shoulder. This code is used to identify a condition where a granuloma, which is a small area of inflammation due to the presence of a foreign substance, has developed in the soft tissues of the left shoulder. The term "not elsewhere classified" indicates that this particular granuloma does not fit into other more specific categories within the ICD coding system. This code is essential for healthcare providers to accurately document and communicate the diagnosis for treatment and billing purposes.

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

1. Presence of a Foreign Body: Confirm that there is a foreign object embedded in the soft tissue of the left shoulder.

2. Granuloma Formation: Identify the formation of a granuloma, which is a localized inflammatory response to the foreign body.

3. Symptoms of Inflammation: Document symptoms such as swelling, redness, warmth, and tenderness in the affected area.

4. Pain Assessment: Evaluate the patient for pain in the left shoulder, which may be acute or chronic.

5. Diagnostic Imaging: Utilize imaging studies (e.g., X-rays, MRI) to visualize the foreign body and assess the extent of the granulomatous reaction.

6. Exclusion of Other Conditions: Rule out other potential diagnoses that could explain the symptoms, ensuring that the granuloma is not secondary to an infection or malignancy.

7. Chronicity of Symptoms: Note if the symptoms have persisted over a specific duration, indicating a chronic inflammatory process.

8. Patient History: Consider the patient's medical history, including any previous surgeries, trauma, or exposure to foreign materials that could contribute to the condition.

9. Biopsy Results: If applicable, include findings from a biopsy that confirm the presence of a foreign body granuloma.

10. Location Specification: Clearly specify that the condition is localized to the left shoulder, as this is critical for accurate coding.

For the ICD code M60.212, which pertains to a foreign body granuloma of soft tissue in the left 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. 24065 - Excision of tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm.

5. 24066 - Excision of tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater.

6. 24075 - Excision of tumor, soft tissue of upper arm or elbow area, deep, subfascial, or intramuscular; less than 5 cm.

7. 24076 - Excision of tumor, soft tissue of upper arm or elbow area, deep, subfascial, or intramuscular; 5 cm or greater.

These CPT codes are examples of procedures that might be performed to address the condition described by the ICD code M60.212. It's important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and the procedures performed.

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