ICD Code M61.29

ICD code M6129 is used to identify the condition known as paralytic calcification and ossification of muscle at 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, M6129 refers to a situation where there is abnormal calcification and bone formation within the muscle tissue, occurring in more than one location in the body. This condition can lead to stiffness, pain, and impaired movement, and it often requires careful management to prevent further complications.

When considering the use of the ICD code M6129, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of Paralytic Conditions
- Documented paralysis affecting the muscle groups involved.

2. Calcification of Muscle Tissue
- Evidence of abnormal calcification observed through imaging studies (e.g., X-rays, MRI).

3. Ossification of Muscle Tissue
- Identification of ossification in muscle tissue, confirmed by imaging or histological examination.

4. Multiple Sites Involvement
- Calcification and/or ossification must be present in multiple muscle sites, not limited to a single area.

5. Clinical Symptoms
- Patients may exhibit muscle stiffness or reduced range of motion in affected areas.
- Possible pain or discomfort in the muscles where calcification or ossification occurs.

6. Exclusion of Other Conditions
- Differential diagnosis must rule out other causes of muscle calcification or ossification, such as trauma, metabolic disorders, or inflammatory conditions.

7. Patient History
- Relevant medical history that may contribute to the condition, including previous injuries, surgeries, or underlying diseases.

8. Physical Examination Findings
- Clinical examination revealing muscle weakness or atrophy in the affected regions.

9. Laboratory Tests
- Any relevant laboratory findings that support the diagnosis, such as elevated calcium levels or specific metabolic markers.

10. Progression of Symptoms
- Documentation of the progression of symptoms over time, indicating a chronic condition rather than an acute event.

These criteria should be thoroughly assessed to ensure accurate coding and appropriate documentation in the healthcare revenue cycle management process.

For the ICD code M61.29, which pertains to paralytic calcification and ossification of muscle at multiple 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 joint, subacromial bursa); without ultrasound guidance.

4. 77002 - Fluoroscopic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device).

5. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

6. 73560 - Radiologic examination, knee; one or two views.

7. 99213 - Established patient office or other outpatient visit, typically 15 minutes.

These CPT codes are examples of procedures that might be used in the management or treatment of conditions related to the ICD code M61.29. The specific choice of CPT code would depend on the individual patient's treatment plan and the healthcare provider's clinical judgment.

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