ICD Code M61.052

ICD code M61.052 is used to identify a medical condition known as "Myositis ossificans traumatica" specifically affecting the left thigh. This condition involves the abnormal formation of bone tissue within the muscle, typically as a result of trauma or injury. It can lead to pain, swelling, and reduced mobility in the affected area. The code helps healthcare providers accurately document and communicate the diagnosis for billing, treatment planning, and statistical purposes within the healthcare system.

When to use the ICD code for Myositis ossificans traumatica, left thigh:

1. History of Trauma: Documented history of trauma or injury to the left thigh, such as a fracture, contusion, or surgical intervention.

2. Pain and Swelling: Presence of localized pain and swelling in the left thigh area following the traumatic event.

3. Limited Range of Motion: Observed limitation in the range of motion of the left thigh or hip joint, potentially due to pain or stiffness.

4. Palpable Mass: Identification of a palpable mass or lump in the left thigh, indicating possible calcification or ossification.

5. Imaging Findings: Radiological evidence (e.g., X-ray, MRI) showing abnormal bone formation or calcification in the soft tissues of the left thigh.

6. Exclusion of Other Conditions: Ruling out other potential causes of similar symptoms, such as infections, tumors, or other forms of myositis.

7. Chronic Symptoms: Symptoms persisting beyond the expected recovery time from the initial trauma, indicating a potential complication.

8. Functional Impairment: Evidence of functional impairment in daily activities due to the condition affecting the left thigh.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code.

For the ICD code M61.052, which pertains to myositis ossificans traumatica of the left thigh, the relevant CPT codes that may be applicable for treatment include:

1. 27360 - Removal of foreign body or ossification from the thigh or knee area; deep.

2. 27365 - Removal of foreign body or ossification from the thigh or knee area; complicated.

3. 27635 - Excision of lesion of the muscle or tendon of the leg or ankle area.

4. 27328 - Fasciectomy, partial, with release of a single compartment of the thigh.

5. 27329 - Fasciectomy, partial, with release of multiple compartments of the thigh.

These CPT codes are commonly used for surgical interventions that may be necessary to address the condition described by the ICD code M61.052. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure that coding is supported by thorough documentation in the patient's medical record.

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