ICD Code M62.012

ICD code M62.012 is used to identify a medical condition characterized by the separation of muscle in the left shoulder that is not caused by trauma. 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. The "M62" category refers to disorders of muscle, and the specific code "012" indicates the nontraumatic separation of muscle tissue in the left shoulder. This condition may involve a partial or complete tear of the muscle fibers, leading to pain, weakness, and limited range of motion in the affected shoulder. Proper coding of this condition is crucial for accurate medical record-keeping, billing, and treatment planning.

When to use the ICD code for separation of muscle (nontraumatic), left shoulder:

1. Clinical Presentation
- Patient reports pain in the left shoulder region.
- Patient experiences limited range of motion in the left shoulder.

2. History of Symptoms
- Symptoms have been present for a duration that suggests a nontraumatic origin (e.g., gradual onset).
- Patient may report a history of repetitive overhead activities or strain.

3. Physical Examination Findings
- Tenderness upon palpation of the left shoulder muscles.
- Swelling or inflammation observed in the left shoulder area.

4. Diagnostic Imaging
- MRI or ultrasound shows evidence of muscle separation or strain without any acute traumatic event.
- X-rays may be performed to rule out associated bony injuries.

5. Exclusion of Traumatic Causes
- No recent history of trauma or injury to the left shoulder.
- Patient denies any falls, accidents, or direct impacts to the shoulder area.

6. Functional Impact
- Patient reports difficulty performing daily activities that involve the left shoulder.
- Symptoms interfere with occupational or recreational activities.

7. Response to Treatment
- Lack of improvement with conservative management (e.g., rest, ice, physical therapy) over a specified period.
- Persistent symptoms despite adherence to prescribed treatment protocols.

By following these diagnostic criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code for nontraumatic separation of muscle in the left shoulder.

For the ICD code M62.012, which pertains to the separation of muscle (nontraumatic) in the left shoulder, the relevant CPT codes that may be applicable for treatment include:

1. CPT 23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

2. CPT 23412 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.

3. CPT 23420 - Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty).

4. CPT 29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair.

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

These CPT codes are typically used for procedures related to the repair or reconstruction of muscle or tendon injuries in the shoulder area. It's important for healthcare providers to verify the specific clinical scenario and documentation to ensure accurate coding and billing.

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