ICD CODES

ICD Code M61.311

ICD code M61311 is used to classify the calcification and ossification of muscles due to burns on the right shoulder for medical documentation.

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 M61.311

ICD code M61311 is used to identify a medical condition characterized by the calcification and ossification of muscles specifically associated with burns affecting the right shoulder. 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. In this case, the code M61311 helps in documenting and tracking the condition where muscle tissue in the right shoulder has undergone abnormal hardening due to the formation of calcium deposits and bone tissue, as a result of burn injuries. This can be crucial for treatment planning, billing, and ensuring accurate medical records.

When to use ICD code M61.311

When to use the ICD code M61311, which pertains to calcification and ossification of muscles associated with burns in the right shoulder, the following diagnostic criteria and symptoms should be considered:

1. History of Burn Injury
- Documented burn injury to the right shoulder area.

2. Muscle Pain or Discomfort
- Patient reports localized pain or discomfort in the right shoulder muscles.

3. Limited Range of Motion
- Observed or reported restriction in the movement of the right shoulder.

4. Palpable Masses or Nodules
- Physical examination reveals palpable masses or nodules in the muscle tissue of the right shoulder.

5. Radiological Evidence
- Imaging studies (e.g., X-rays, MRI) show calcification or ossification in the muscles of the right shoulder.

6. Functional Impairment
- Patient experiences difficulty performing daily activities due to shoulder dysfunction.

7. Inflammatory Signs
- Presence of swelling, redness, or warmth in the right shoulder area.

8. Chronic Symptoms
- Symptoms persisting for an extended period following the initial burn injury.

9. Exclusion of Other Conditions
- Differential diagnosis confirms that symptoms are not attributable to other musculoskeletal or neurological conditions.

These criteria should be carefully evaluated to ensure accurate coding and appropriate management of the patient's condition.

Billable CPT codes for ICD code M61.311

For the ICD code M61.311, which pertains to calcification and ossification of muscles associated with burns in the right shoulder, 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. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

3. 24357 - Tenotomy, shoulder area; single tendon.

4. 24359 - Tenotomy, shoulder area; multiple tendons.

5. 24360 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

6. 24361 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.

7. 24363 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) by coracoacromial ligament transfer.

These CPT codes are examples of procedures that might be considered for addressing the condition described by the ICD code M61.311. The selection of the appropriate CPT code would depend on the specific clinical scenario and treatment plan determined by the healthcare provider.

Are you being underpaid for encounters with M61.311

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes related to ICD code M61311. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background