ICD Code M61.211

ICD code M61211 is used to identify a medical condition characterized by paralytic calcification and ossification of muscle in the right shoulder. This condition involves the abnormal deposition of calcium salts in the muscle tissue, leading to hardening and potential ossification, which is the process where the muscle tissue begins to transform into bone-like material. This can result in restricted movement and pain in the affected shoulder, impacting the patient's range of motion and overall shoulder function. The code specifically denotes that the condition is localized to the right shoulder, which is crucial for accurate diagnosis, treatment planning, and billing purposes in the healthcare setting.

When to use the ICD code for Paralytic calcification and ossification of muscle, right shoulder:

1. Presence of Paralysis: Documented evidence of muscle paralysis affecting the right shoulder region.

2. Calcification: Radiological or clinical findings indicating calcification of the muscle tissue in the affected area.

3. Ossification: Confirmation of abnormal bone formation within the muscle tissue, specifically in the right shoulder.

4. Symptoms of Pain: Patient-reported pain or discomfort localized to the right shoulder, potentially affecting range of motion.

5. Functional Impairment: Observable limitations in shoulder function, such as difficulty in lifting or moving the arm.

6. Duration of Symptoms: Symptoms persisting for a significant period, indicating a chronic condition rather than an acute injury.

7. Exclusion of Other Conditions: Ruling out other potential causes of shoulder pain and muscle dysfunction through diagnostic imaging and clinical evaluation.

8. Patient History: Relevant medical history that may contribute to the condition, such as previous injuries, surgeries, or neurological disorders.

9. Physical Examination Findings: Clinical examination revealing muscle stiffness, tenderness, or palpable masses in the right shoulder region.

10. Diagnostic Imaging Results: Confirmation through X-rays, MRI, or CT scans showing calcification and ossification in the muscle of the right shoulder.

For the ICD code M61.211, which pertains to paralytic calcification and ossification of muscle in the right shoulder, the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

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

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

3. CPT 73030 - Radiologic examination, shoulder; complete, minimum of two views.

4. CPT 73221 - Magnetic resonance (e.g., proton) imaging, any joint of upper extremity; without contrast material(s).

5. CPT 24300 - Manipulation, elbow, under anesthesia.

6. CPT 24310 - Injection(s), single or multiple trigger point(s), one or two muscle(s).

These CPT codes are examples of procedures that might be considered in the management or evaluation of conditions associated with the ICD code M61.211. It's important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and services provided.

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