ICD Code M61.412

ICD code M61.412 is used to identify a medical condition characterized by the presence of abnormal calcium deposits in the muscle tissue of the left shoulder. This condition, known as calcification of muscle, can lead to pain, stiffness, and reduced mobility in the affected area. The code helps healthcare providers document and communicate the specific nature of the condition for accurate diagnosis, treatment planning, and billing purposes.

When to use the ICD code M61412 for Other calcification of muscle, left shoulder:

1. Presence of Calcification: Evidence of calcification in the muscle tissue of the left shoulder, confirmed through imaging studies such as X-rays or MRI.

2. Localized Symptoms: Patient reports localized pain or discomfort in the left shoulder area, which may be exacerbated by movement or pressure.

3. Range of Motion Limitations: Observed restrictions in the range of motion of the left shoulder, potentially affecting daily activities.

4. Muscle Weakness: Assessment reveals weakness in the muscles surrounding the left shoulder, impacting strength and functionality.

5. Inflammatory Signs: Possible presence of inflammation in the shoulder region, including swelling or tenderness upon palpation.

6. Exclusion of Other Conditions: Differential diagnosis has ruled out other potential causes of shoulder pain and calcification, such as rotator cuff injuries or arthritis.

7. Chronicity of Symptoms: Symptoms have persisted over a specific duration, indicating a chronic condition rather than an acute injury.

8. Patient History: Relevant medical history that may contribute to the condition, such as previous shoulder injuries, repetitive strain, or metabolic disorders.

9. Impact on Daily Life: Documentation of how the condition affects the patient's daily activities, work, or quality of life.

10. Treatment Response: Evaluation of the patient's response to initial treatments, such as physical therapy or medication, which may inform the need for further coding.

For the ICD code M61.412, which pertains to other calcification of muscle in the left shoulder, 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. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

3. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

4. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

5. 73221 - Magnetic resonance (e.g., proton) imaging, any joint of upper extremity; without contrast material(s).

These CPT codes are examples of procedures that might be used to diagnose or treat conditions related to calcification of muscle in the shoulder area. It's important for healthcare providers to select the most appropriate CPT code based on the specific services rendered and the clinical scenario.

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