ICD CODES

ICD Code M60.259

ICD code M60259 is used to classify a foreign body granuloma in the soft tissue of an unspecified thigh, aiding in accurate medical documentation.

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 M60.259

ICD code M60259 is used to identify a medical condition known as a foreign body granuloma of the soft tissue located in the thigh, where the specific side or location within the thigh is not specified. A foreign body granuloma occurs when the body reacts to a foreign substance that has entered the soft tissue, leading to inflammation and the formation of a small, localized mass. This code is used when the granuloma is not classified under any other specific category and the exact location within the thigh is unspecified.

When to use ICD code M60.259

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

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

2. Granuloma Formation: Identify the presence of granulomatous inflammation in response to the foreign body, characterized by the formation of granulomas in the affected area.

3. Localized Symptoms: Document localized symptoms such as swelling, redness, or tenderness in the thigh region where the foreign body is located.

4. Pain or Discomfort: Assess for any pain or discomfort reported by the patient in the area of the granuloma.

5. Absence of Other Diagnoses: Ensure that the condition is not classified under other specific ICD codes that pertain to similar conditions or other types of granulomas.

6. Unspecified Location: Confirm that the diagnosis is specifically for the unspecified thigh, without further specification of the exact location within the thigh.

7. Exclusion of Infection: Rule out any infectious processes that may mimic the symptoms of a foreign body granuloma, ensuring that the diagnosis is solely related to the foreign body reaction.

8. Clinical Evaluation: Conduct a thorough clinical evaluation, including imaging studies if necessary, to support the diagnosis of a foreign body granuloma in the soft tissue.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to use the appropriate ICD code for this condition.

Billable CPT codes for ICD code M60.259

For the ICD code M60259, which pertains to a foreign body granuloma of soft tissue in the unspecified 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. 20520 - Removal of foreign body in muscle or tendon sheath; simple.

4. 20525 - Removal of foreign body in muscle or tendon sheath; deep or complicated.

5. 27618 - Excision of lesion of the thigh or knee area, subcutaneous tissue.

These CPT codes are typically used for procedures involving the removal of foreign bodies or lesions in soft tissues, which may be relevant for addressing the condition described by ICD code M60259. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case.

Are you being underpaid for encounters with M60.259

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 M60259. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background