ICD CODES

ICD Code M61.30

ICD code M6130 is used to classify calcification and ossification of muscles related to burns at an unspecified site for healthcare documentation.

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What is ICD diagnosis code M61.30

ICD code M6130 refers to the calcification and ossification of muscles that occur as a result of burns, but it does not specify the exact location on the body where this condition is present. This code is used when documenting cases where muscle tissue has undergone abnormal hardening or bone-like transformation due to burn injuries, and the specific site of this occurrence is not detailed in the medical records. This code helps healthcare providers and billing professionals accurately capture and communicate the nature of the condition for treatment planning and insurance purposes.

When to use ICD code M61.30

When to use the ICD code M6130, Calcification and ossification of muscles associated with burns, unspecified site:

1. Presence of Burn Injury
- Documented history of a burn injury, regardless of severity or depth.

2. Muscle Symptoms
- Patient reports muscle stiffness or rigidity in the affected area.
- Limited range of motion in muscles surrounding the burn site.

3. Radiological Evidence
- Imaging studies (e.g., X-rays, MRIs) show calcification or ossification in the muscle tissue adjacent to the burn site.

4. Chronic Pain
- Persistent pain in the muscles associated with the burn, not attributable to other causes.

5. Functional Impairment
- Decreased functionality or mobility due to muscle involvement related to the burn injury.

6. Absence of Other Conditions
- Exclusion of other potential causes of muscle calcification or ossification, such as metabolic disorders or other traumatic injuries.

7. Time Frame
- Symptoms and findings occur after the initial healing phase of the burn, indicating a delayed response or complication.

8. Clinical Assessment
- Comprehensive evaluation by a healthcare provider confirming the association between the burn and muscle changes.

These criteria should be thoroughly documented to support the use of the ICD code in billing and coding processes.

Billable CPT codes for ICD code M61.30

For the ICD code M61.30, which pertains to calcification and ossification of muscles associated with burns at an unspecified site, 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. 20551 - Injection(s); single tendon origin/insertion.

3. 20600 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

4. 20605 - Arthrocentesis, aspiration and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

5. 20610 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance.

6. 20999 - Unlisted procedure, musculoskeletal system, general.

These CPT codes are examples of procedures that might be used in the treatment of conditions related to muscle calcification and ossification. It is important to consult with a healthcare professional to determine the most appropriate treatment and corresponding CPT codes based on the specific clinical scenario.

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