ICD code M62071 is used to classify a nontraumatic separation of muscle in the right ankle and foot for healthcare documentation and analysis.
ICD code M62.071 is used to classify and document the medical condition of a nontraumatic separation of muscle in the right ankle and foot. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a standardized system used by healthcare providers to describe diagnoses and medical conditions. The code specifically indicates that the muscle separation occurred without any external trauma or injury, affecting the muscles in the specified region of the right ankle and foot. This information is crucial for accurate medical record-keeping, billing, and ensuring appropriate treatment plans are developed for the patient.
When to use the ICD code for separation of muscle (nontraumatic), right ankle and foot:
1. Presence of Muscle Separation: Documented evidence of muscle separation in the right ankle and foot region.
2. Nontraumatic Origin: The condition must be classified as nontraumatic, indicating that it is not the result of an external injury or trauma.
3. Symptoms of Pain: Patient reports localized pain in the right ankle and foot, particularly during movement or pressure.
4. Swelling or Edema: Observation of swelling in the affected area, which may be accompanied by tenderness.
5. Limited Range of Motion: Assessment reveals a reduced range of motion in the right ankle and foot due to muscle separation.
6. Muscle Weakness: Clinical evaluation indicates weakness in the muscles surrounding the right ankle and foot.
7. Diagnostic Imaging: Results from imaging studies (e.g., MRI, ultrasound) confirm the presence of muscle separation.
8. Exclusion of Other Conditions: Differential diagnosis must rule out other potential causes of similar symptoms, ensuring that the diagnosis specifically pertains to muscle separation.
9. Chronicity of Symptoms: Symptoms should be persistent or recurrent, indicating a chronic condition rather than an acute episode.
10. Functional Impairment: The condition leads to functional impairment in daily activities, necessitating medical intervention.
For the ICD code M62.071, which pertains to the separation of muscle (nontraumatic) in the right ankle and foot, the relevant CPT codes that may be applicable for treatment include:
1. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon.
2. 27652 - Repair, primary, open or percutaneous, of ruptured Achilles tendon with graft.
3. 27654 - Repair, secondary, Achilles tendon, with or without graft.
4. 27658 - Repair of flexor tendon, leg; primary, without graft, each tendon.
5. 27659 - Repair of flexor tendon, leg; secondary, with or without graft, each tendon.
6. 27664 - Repair, extensor tendon, leg; primary, without graft, each tendon.
7. 27665 - Repair, extensor tendon, leg; secondary, with or without graft, each tendon.
These CPT codes are typically used for surgical procedures related to tendon and muscle repair in the ankle and foot region. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure that the chosen CPT code accurately reflects the services provided to ensure proper billing and reimbursement.
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