ICD Code M61.419

ICD code M61.419 is used to identify a medical condition characterized by the calcification of muscle tissue in an unspecified shoulder. This means that calcium deposits have formed within the muscle, which can lead to stiffness, pain, or reduced mobility in the affected area. The term "unspecified shoulder" indicates that the documentation does not specify whether the condition affects the left or right shoulder. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis and treatment of various medical conditions for billing and record-keeping purposes.

When to use the ICD code M61419 for Other calcification of muscle, unspecified shoulder:

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

2. Unspecified Location: The calcification is not localized to a specific muscle group within the shoulder, indicating a broader or more generalized condition.

3. Symptoms of Pain: The patient reports shoulder pain that may be chronic or acute, which could be associated with the calcification.

4. Limited Range of Motion: The patient exhibits restricted movement in the shoulder joint, potentially due to the presence of calcified muscle tissue.

5. Muscle Weakness: The patient may experience weakness in the shoulder or upper limb, which can be attributed to the calcification affecting muscle function.

6. Inflammation Signs: There may be observable signs of inflammation in the shoulder area, such as swelling or tenderness.

7. Exclusion of Other Conditions: Other potential causes of shoulder pain and dysfunction have been ruled out, ensuring that the diagnosis of calcification is appropriate.

8. Chronicity: The condition has persisted over a period of time, indicating that it is not an acute injury but rather a chronic issue.

9. Patient History: The patient has a relevant medical history that may contribute to calcification, such as previous shoulder injuries or conditions that predispose them to muscle calcification.

10. Impact on Daily Activities: The calcification is affecting the patient's ability to perform daily activities, indicating a need for medical intervention.

For the ICD code M61.419, which pertains to "Other calcification of muscle, unspecified 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. 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. 23929 - Unlisted procedure, shoulder.

5. 24357 - Tenotomy, shoulder area; percutaneous, with or without ultrasound guidance.

These CPT codes are examples of procedures that might be considered for addressing issues related to calcification in the shoulder muscle. It is important for healthcare providers to select the most appropriate CPT code based on the specific treatment plan and procedures performed. Always ensure that coding is aligned with the latest guidelines and payer-specific requirements.

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