ICD CODES

ICD Code M61.252

ICD code M61252 is used to classify and identify the condition of paralytic calcification and ossification of muscle in the left thigh.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is ICD diagnosis code M61.252

ICD code M61.252 is used to classify and document the medical condition known as paralytic calcification and ossification of muscle in the left thigh. This condition involves the abnormal deposition of calcium salts in the muscle tissue, leading to hardening or ossification, which can impair muscle function. The term "paralytic" indicates that this calcification is associated with muscle paralysis or weakness, potentially resulting from a neurological condition or injury. This code is essential for healthcare providers to accurately record and communicate the specific nature and location of the condition for effective treatment planning and insurance billing.

When to use ICD code M61.252

When considering the use of the ICD code for paralytic calcification and ossification of muscle in the left thigh, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Presence of Calcification or Ossification: Confirm the presence of abnormal calcification or ossification within the muscle tissue of the left thigh through imaging studies such as X-rays, CT scans, or MRIs.

2. Muscle Weakness or Paralysis: Assess for any signs of muscle weakness or paralysis in the left thigh, which may be indicative of underlying neuromuscular issues contributing to the calcification process.

3. Pain or Discomfort: Evaluate the patient for any pain or discomfort localized to the left thigh, which may be exacerbated by movement or pressure.

4. Reduced Range of Motion: Observe any limitations in the range of motion of the left thigh, potentially due to stiffness or rigidity caused by ossification.

5. History of Trauma or Injury: Consider any history of trauma or injury to the left thigh that could have precipitated the development of calcification or ossification.

6. Neurological Assessment: Conduct a thorough neurological assessment to rule out any other neurological conditions that might mimic or contribute to the symptoms observed.

7. Exclusion of Other Conditions: Rule out other potential causes of similar symptoms, such as infections, tumors, or systemic diseases that could lead to muscle calcification or ossification.

8. Progression Over Time: Monitor the progression of symptoms over time to determine if there is a worsening of the condition, which may necessitate further intervention or treatment.

By systematically evaluating these criteria, healthcare providers can accurately determine the appropriateness of using the specific ICD code for the condition in question.

Billable CPT codes for ICD code M61.252

For the ICD code M61.252, which pertains to paralytic calcification and ossification of muscle in the left thigh, the relevant CPT codes that may be applicable for treatment or diagnostic procedures 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., knee, hip, shoulder joint); without ultrasound guidance.

4. 27301 - Biopsy, soft tissue of thigh or knee area; superficial.

5. 27303 - Biopsy, soft tissue of thigh or knee area; deep.

6. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon.

7. 29875 - Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure).

These CPT codes are examples of procedures that might be performed to diagnose or treat conditions associated with the ICD code M61.252. It's important to verify the specific clinical scenario and consult the latest CPT coding guidelines to ensure accurate coding and billing.

Are you being underpaid for encounters with M61.252

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M61252. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background