ICD Code M61.28

ICD code M6128 is used to classify and document the medical condition known as "Paralytic calcification and ossification of muscle, other site." This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions. The condition described by this code involves the abnormal deposition of calcium salts and the formation of bone tissue within the muscles, occurring at sites other than those specifically listed in other related codes. This process can lead to stiffness, pain, and impaired muscle function, often as a result of paralysis or other underlying neuromuscular conditions. Proper coding of this condition is crucial for accurate medical records, billing, and treatment planning.

When to use the ICD code M6128, Paralytic calcification and ossification of muscle, other site:

1. Presence of Paralysis: The patient exhibits signs of muscle paralysis, which may be due to neurological conditions, trauma, or other underlying health issues.

2. Calcification of Muscle Tissue: Diagnostic imaging or clinical examination reveals abnormal calcification in the muscle tissue, indicating a pathological process.

3. Ossification of Muscle: There is evidence of ossification, where muscle tissue is replaced by bone-like material, which can be confirmed through imaging studies.

4. Symptoms of Muscle Dysfunction: The patient presents with symptoms such as weakness, stiffness, or limited range of motion in the affected muscle group.

5. Exclusion of Other Conditions: Other potential causes of muscle calcification or ossification have been ruled out, ensuring that the diagnosis specifically pertains to paralytic calcification and ossification.

6. Location Specification: The affected site of the muscle must be identified and documented, as the ICD code specifies "other site," indicating that it does not pertain to a commonly recognized location for this condition.

7. Chronicity of Symptoms: The symptoms and findings should be chronic or persistent, rather than acute, to align with the diagnostic criteria for this specific condition.

8. Clinical Correlation: There should be a clear clinical correlation between the patient's history, physical examination findings, and diagnostic imaging results that support the diagnosis of paralytic calcification and ossification.

By adhering to these diagnostic criteria, healthcare providers can accurately determine when to apply the ICD code M6128 in their documentation and billing processes.

For the ICD code M61.28, which pertains to paralytic calcification and ossification of muscle at other sites, 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., shoulder, hip, knee, subacromial bursa); without ultrasound guidance.

4. 20611 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

5. 77002 - Fluoroscopic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device).

6. 77012 - Computed tomography guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), radiological supervision and interpretation.

7. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

8. 73560 - Radiologic examination, knee; one or two views.

These CPT codes are examples of procedures that might be performed to diagnose or treat conditions associated with the ICD code M61.28. The specific choice of CPT code would depend on the clinical scenario, the site of the condition, and the treatment plan determined by the healthcare provider. Always ensure that the selected CPT codes align with the services provided and the documentation in the patient's medical record.

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