ICD Code M61.061

ICD code M61.061 is used to identify the condition known as myositis ossificans traumatica specifically affecting the right lower leg. 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. Proper diagnosis and coding of this condition are crucial for effective treatment planning and accurate billing in the healthcare revenue cycle.

When to use the ICD code for Myositis ossificans traumatica, right lower leg:

1. History of Trauma: Patient has a documented history of trauma or injury to the right lower leg.

2. Localized Pain: Patient reports localized pain in the right lower leg, particularly in the area of the injury.

3. Swelling and Inflammation: Presence of swelling and signs of inflammation in the affected area.

4. Limited Range of Motion: Patient exhibits a reduced range of motion in the right lower leg due to discomfort or stiffness.

5. Palpable Mass: A palpable mass or hardening is noted in the muscle tissue of the right lower leg during physical examination.

6. Imaging Findings: Radiological imaging (e.g., X-ray, MRI) reveals calcification or ossification in the muscle tissue of the right lower leg.

7. Exclusion of Other Conditions: Other potential causes of the symptoms (e.g., fractures, infections, tumors) have been ruled out through clinical evaluation and diagnostic testing.

8. Chronic Symptoms: Symptoms persist beyond the expected healing time for the initial injury, indicating a potential complication such as myositis ossificans.

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

For the ICD code M61.061, which pertains to myositis ossificans traumatica of the right lower leg, the relevant CPT codes that could be applicable for treatment include:

1. 27360 - Removal of foreign body or ossification from the femur or knee area.

2. 27365 - Removal of foreign body or ossification from the lower leg.

3. 27635 - Excision of lesion of the tibia or fibula.

4. 27640 - Partial excision (craterization, saucerization, or diaphysectomy) of bone (e.g., osteomyelitis or bone abscess); tibia or fibula.

5. 27650 - Repair of ruptured Achilles tendon; primary, open or percutaneous, with or without graft.

These CPT codes are examples of procedures that might be considered in the treatment plan for a patient diagnosed with myositis ossificans traumatica of the right lower leg. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment rendered.

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