ICD Code M60.261

ICD code M60261 is used to identify a medical condition known as a foreign body granuloma of soft tissue, specifically located in the right lower leg. 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, which is a small area of inflammation. The code indicates that this granuloma is not classified under any other specific category, emphasizing its unique nature in the right lower leg. This code is essential for healthcare providers to accurately document and manage the condition for billing and treatment purposes.

When to use the ICD code for Foreign body granuloma of soft tissue, not elsewhere classified, right lower leg:

1. Presence of a Foreign Body
- Documented evidence of a foreign object in the soft tissue of the right lower leg.

2. Granulomatous Inflammation
- Histological confirmation of granulomatous inflammation in the affected area.

3. Localized Symptoms
- Localized swelling or mass in the right lower leg.

4. Pain or Discomfort
- Patient reports pain or discomfort in the right lower leg associated with the granuloma.

5. Skin Changes
- Observable changes in the skin over the affected area, such as redness, warmth, or ulceration.

6. Absence of Infection
- No signs of acute infection (e.g., fever, purulent discharge) that would suggest an alternative diagnosis.

7. Chronicity
- Symptoms persisting for an extended period, indicating a chronic condition rather than an acute injury.

8. Exclusion of Other Conditions
- Differential diagnosis ruling out other potential causes of soft tissue masses or granulomas in the right lower leg.

9. Patient History
- Relevant patient history indicating prior trauma or exposure to foreign materials in the area.

10. Diagnostic Imaging
- Imaging studies (e.g., X-ray, MRI) supporting the presence of a foreign body and associated soft tissue changes.

For the ICD code M60261, which pertains to a foreign body granuloma of soft tissue in the right lower leg, the relevant CPT codes that may be applicable for treatment 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 lesion of muscle or tendon, leg and/or ankle area.

5. 28090 - Removal of foreign body, foot; subcutaneous.

These CPT codes are examples of procedures that might be used to address the condition described by the ICD code M60261. The choice of CPT code would depend on the specific clinical scenario, including the complexity and location of the granuloma, as well as the surgical approach required. Always consult with a coding specialist or refer to the latest coding guidelines to ensure accurate coding for billing and reimbursement purposes.

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