ICD Code M61.271

ICD code M61271 is used to identify the medical condition known as paralytic calcification and ossification of muscle in the right ankle and foot. 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 and ossification are associated with muscle paralysis, potentially resulting from nerve damage or other underlying neurological conditions. This specific code helps healthcare providers accurately document and communicate the diagnosis for billing, treatment planning, and statistical purposes.

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

1. Presence of Paralysis
- Documented loss of muscle function in the right ankle and foot.

2. Calcification or Ossification
- Evidence of abnormal calcification or ossification in the muscle tissue of the right ankle and foot, confirmed through imaging studies.

3. Symptoms of Pain or Discomfort
- Patient reports pain or discomfort in the right ankle and foot area.

4. Limited Range of Motion
- Observed or reported restriction in the movement of the right ankle and foot.

5. Muscle Weakness
- Clinical assessment indicates weakness in the muscles surrounding the right ankle and foot.

6. Functional Impairment
- Difficulty in performing daily activities or tasks that require the use of the right ankle and foot.

7. History of Trauma or Injury
- Previous injury or trauma to the right ankle or foot that may have contributed to the condition.

8. Underlying Conditions
- Presence of underlying medical conditions that may predispose the patient to calcification or ossification, such as neurological disorders.

9. Duration of Symptoms
- Symptoms have persisted for a significant duration, warranting further investigation and diagnosis.

10. Exclusion of Other Conditions
- Other potential causes of similar symptoms have been ruled out through differential diagnosis.

For the ICD code M61.271, which pertains to paralytic calcification and ossification of muscle in the right ankle and foot, the relevant CPT codes that may be applicable for treatment could include:

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

2. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

3. 20605 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

4. 27635 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), leg and/or ankle.

5. 27640 - Partial excision (craterization, saucerization, or diaphysectomy) of bone (e.g., osteomyelitis or bossing); tibia or fibula.

6. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; without graft.

These CPT codes are examples of procedures that might be considered in the management of conditions associated with the specified ICD code. The selection of appropriate CPT codes should be based on the specific clinical scenario and treatment plan determined by the healthcare provider.

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