ICD CODES

ICD Code M60.251

ICD code M60251 is used to classify a foreign body granuloma of soft tissue in the right thigh, not specified under other categories.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is ICD diagnosis code M60.251

ICD code M60251 is used to classify a medical condition where there is a foreign body granuloma located in the soft tissue of the right thigh. A foreign body granuloma occurs when the body reacts to a foreign substance that has entered the tissue, leading to inflammation and the formation of a small mass or nodule. This code is specifically used when the granuloma is not classified under any other specific category and is localized to the right thigh.

When to use ICD code M60.251

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

1. Presence of a Foreign Body: Confirm the presence of a foreign object in the soft tissue of the right thigh, which may include items such as splinters, surgical materials, or other external substances.

2. Granulomatous Inflammation: Identify signs of granulomatous inflammation in the affected area, which may be indicated by histological examination showing the formation of granulomas.

3. Localized Symptoms: Document localized symptoms such as:

- Swelling or mass formation in the right thigh

- Redness or erythema in the surrounding skin

- Pain or tenderness upon palpation

4. Absence of Infection: Rule out any signs of acute infection, such as fever, purulent discharge, or systemic symptoms that would suggest an infectious process rather than a granulomatous reaction.

5. Chronicity of Symptoms: Establish that the symptoms have been present for a prolonged period, indicating a chronic inflammatory response rather than an acute condition.

6. Diagnostic Imaging: Utilize imaging studies (e.g., ultrasound, MRI) to visualize the foreign body and assess the extent of the granulomatous reaction in the soft tissue.

7. Exclusion of Other Conditions: Ensure that other potential diagnoses, such as abscesses, tumors, or other types of granulomas, have been ruled out through clinical evaluation and diagnostic testing.

8. Clinical Documentation: Maintain thorough clinical documentation that supports the diagnosis, including patient history, physical examination findings, and any relevant laboratory or imaging results.

Billable CPT codes for ICD code M60.251

For the ICD code M60.251, which pertains to a foreign body granuloma of soft tissue in the right thigh, the relevant CPT codes that might be applicable for treatment could include:

1. 10120 - Incision and removal of foreign body, subcutaneous tissues; simple.

2. 10121 - Incision and removal of foreign body, subcutaneous tissues; complicated.

3. 27618 - Excision of lesion of tendon sheath or capsule (e.g., cyst or ganglion), leg and/or ankle.

4. 27632 - Excision of soft tissue tumor of thigh or knee area; subcutaneous.

5. 27634 - Excision of soft tissue tumor of thigh or knee area; deep (subfascial or intramuscular).

These CPT codes are examples of procedures that might be performed to address the condition described by the ICD code M60.251. The specific code used would depend on the clinical details and the nature of the procedure performed. Always consult with a coding specialist or refer to the latest CPT coding guidelines to ensure accurate coding for specific clinical scenarios.

Are you being underpaid for encounters with M60.251

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M60251. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background