ICD Code M61.312

ICD code M61312 is used to identify the medical condition characterized by the calcification and ossification of muscles associated with burns specifically in the left shoulder. This means that following a burn injury, the muscle tissue in the left shoulder has undergone abnormal changes where calcium deposits have formed, leading to the hardening or ossification of the muscle. This condition can result in reduced mobility and function of the affected shoulder, and it is important for healthcare providers to accurately document this using the ICD code for appropriate treatment planning and billing purposes.

When to use the ICD code M61312, which pertains to calcification and ossification of muscles associated with burns in the left shoulder, consider the following diagnostic criteria and symptoms:

1. History of Burn Injury: Patient has a documented history of a burn injury affecting the left shoulder area.

2. Muscle Pain or Discomfort: Patient reports localized pain or discomfort in the left shoulder, particularly in the muscles.

3. Limited Range of Motion: Patient exhibits restricted movement or stiffness in the left shoulder joint.

4. Palpable Masses: Physical examination reveals palpable masses or hardening in the muscle tissue of the left shoulder.

5. Imaging Findings: Radiological studies (e.g., X-rays, MRI) indicate calcification or ossification within the muscle tissue of the left shoulder.

6. Inflammatory Response: Signs of inflammation, such as swelling or tenderness, are present in the affected area.

7. Functional Impairment: Patient experiences difficulty performing daily activities that require the use of the left shoulder.

8. Absence of Other Diagnoses: Differential diagnosis excludes other conditions that could explain the symptoms, confirming the association with the burn injury.

9. Chronic Symptoms: Symptoms persist beyond the acute phase of the burn injury, indicating a chronic condition related to muscle calcification or ossification.

10. Follow-Up Care: Patient is under ongoing medical supervision for the management of complications arising from the burn injury.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M61.312, which pertains to calcification and ossification of muscles associated with burns in the left 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. 24300 - Manipulation, shoulder joint, under anesthesia.

4. 24310 - Tenotomy, shoulder area; single tendon.

5. 24320 - Tenolysis, shoulder area.

6. 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

7. 24342 - Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft.

These CPT codes are examples of procedures that might be considered depending on the specific clinical scenario and treatment plan for the condition described by the ICD code M61.312. It's important for healthcare providers to select the most appropriate CPT code based on the specific services rendered and the patient's individual needs.

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