ICD Code M61.19

ICD code M6119 is used to identify the condition known as "Myositis ossificans progressiva, multiple sites." This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, M6119 refers to a rare and progressive disorder where muscle tissue and connective tissue such as tendons and ligaments are gradually replaced by bone, leading to stiffness and immobility. The term "multiple sites" indicates that this ossification process is occurring in more than one area of the body. This condition is chronic and can significantly impact a patient's mobility and quality of life, requiring careful management and monitoring by healthcare professionals.

When considering the use of the ICD code M6119, the following diagnostic criteria and symptoms should be evaluated:

1. Clinical Presentation:
- Presence of progressive muscle stiffness and pain.
- Development of hard lumps or masses in the muscles.

2. Radiological Findings:
- Evidence of abnormal bone formation in soft tissues on imaging studies (e.g., X-rays, MRI).
- Identification of calcification or ossification in multiple muscle groups.

3. Patient History:
- A history of recurrent episodes of muscle swelling or inflammation.
- Family history of similar symptoms or conditions, indicating a potential genetic predisposition.

4. Exclusion of Other Conditions:
- Rule out other causes of myositis or ossification, such as trauma, infections, or other inflammatory diseases.
- Ensure that symptoms are not attributable to metabolic or endocrine disorders.

5. Physical Examination:
- Observation of limited range of motion in affected areas due to stiffness.
- Palpation revealing firm, non-tender masses in the muscles.

6. Laboratory Tests:
- Elevated muscle enzymes (e.g., creatine kinase) indicating muscle damage.
- Negative autoimmune markers to exclude autoimmune myositis.

7. Progression of Symptoms:
- Symptoms that worsen over time, indicating a chronic condition rather than an acute injury.

8. Age of Onset:
- Symptoms typically manifest in early childhood or adolescence, aligning with the expected age range for the condition.

By assessing these criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code M6119 in their documentation and billing processes.

For the ICD code M61.19, which pertains to myositis ossificans progressiva at multiple sites, the relevant CPT codes that may be applicable for treatment or management include:

1. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

2. 20551 - Injection(s); single tendon origin/insertion.

3. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance.

4. 27370 - Injection of contrast for knee arthrography.

5. 29240 - Strapping; shoulder (e.g., Velpeau).

6. 29540 - Strapping; ankle and/or foot.

7. 76000 - Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time, other than 71023 or 71034 (e.g., cardiac fluoroscopy).

These CPT codes are examples of procedures that might be used in the management or treatment of conditions associated with myositis ossificans progressiva. It is important for healthcare providers to select the most appropriate CPT code based on the specific treatment plan and procedures performed for the patient. Always ensure that the chosen CPT codes align with the services provided and are supported by the patient's medical documentation.

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