ICD Code M61.349

ICD code M61349 is used to classify a medical condition characterized by the calcification and ossification of muscles that is associated with burns on an unspecified hand. This means that the muscle tissue in the affected hand has undergone abnormal changes, leading to the hardening or formation of bone-like structures within the muscle, as a result of burn injuries. The code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and categorize diagnoses for billing, treatment, and statistical purposes. The "unspecified hand" designation indicates that the documentation does not specify whether the condition affects the left or right hand.

When to use the ICD code M61349, which pertains to calcification and ossification of muscles associated with burns in an unspecified hand, the following diagnostic criteria and symptoms should be considered:

1. History of Burn Injury
- Patient has a documented history of a burn injury affecting the hand.

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

3. Limited Range of Motion
- Patient exhibits restricted movement or stiffness in the hand, particularly in the affected muscles.

4. Palpable Hardness or Nodules
- Physical examination reveals palpable areas of hardness or nodules in the muscle tissue of the hand.

5. Radiological Evidence
- Imaging studies (e.g., X-rays, MRI) show calcification or ossification in the muscle tissue of the hand.

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

7. Symptoms of Inflammation
- Patient may present with signs of inflammation, such as swelling, redness, or warmth in the affected area.

8. Functional Impairment
- Patient experiences difficulty performing daily activities due to muscle stiffness or pain in the hand.

9. Chronic Symptoms
- Symptoms have persisted for an extended period, indicating a chronic condition related to the burn injury.

10. Follow-Up Care
- Patient is undergoing follow-up care for the burn injury, with ongoing assessment of muscle condition and function.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code M61349 in clinical documentation and billing processes.

For the ICD code M61.349, which pertains to calcification and ossification of muscles associated with burns in an unspecified hand, the relevant CPT codes that may be applicable for treatment 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. 24300 - Manipulation, elbow, under anesthesia.

6. 24310 - Injection(s), single or multiple trigger point(s), one or two muscle(s).

7. 24320 - Injection(s), single or multiple trigger point(s), three or more muscles.

These CPT codes are examples of procedures that might be considered in the treatment plan for conditions related to the ICD code M61.349. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment and clinical scenario. Always verify with the latest coding guidelines and payer policies.

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