ICD Code M62.139

ICD code M62139 is used to classify a nontraumatic rupture of a muscle in the forearm where the specific muscle affected is not specified. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions. The code helps in documenting and billing for the treatment of this particular type of muscle injury, ensuring that healthcare providers can accurately communicate the condition and receive appropriate reimbursement for their services.

When to use the ICD code M62139 for other rupture of muscle (nontraumatic), unspecified forearm:

1. Presence of Muscle Rupture
- Documented evidence of muscle rupture in the forearm region.

2. Nontraumatic Origin
- The rupture is not due to an external injury or trauma but rather results from other factors such as overuse, degeneration, or underlying medical conditions.

3. Symptoms of Pain
- Patient reports localized pain in the forearm, particularly during movement or palpation.

4. Swelling or Edema
- Observable swelling in the forearm area, indicating inflammation or injury.

5. Limited Range of Motion
- Difficulty or inability to move the forearm or wrist normally due to pain or mechanical restriction.

6. Muscle Weakness
- Noticeable weakness in the affected muscle group, impacting the patient's ability to perform daily activities.

7. Diagnostic Imaging Findings
- Confirmation of muscle rupture through imaging studies such as MRI or ultrasound, showing disruption of muscle fibers.

8. Exclusion of Other Conditions
- Other potential causes of forearm pain and dysfunction have been ruled out, ensuring that the diagnosis specifically pertains to a muscle rupture.

9. Chronic Symptoms
- Symptoms persisting over a period, indicating a nonacute condition rather than an immediate injury.

10. Patient History
- Relevant medical history that may contribute to muscle degeneration or predisposition to rupture, such as previous injuries, chronic diseases, or repetitive strain activities.

For the ICD code M62139, which pertains to other rupture of muscle (nontraumatic), unspecified forearm, the relevant CPT codes that may be applicable for treatment include:

1. 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

2. 24342 - Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft.

3. 25260 - Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle.

4. 25270 - Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle.

5. 24343 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

These CPT codes are examples of procedures that might be considered based on the specific clinical scenario and the healthcare provider's assessment. It is important to consult with a coding specialist or use clinical judgment to determine the most appropriate CPT code for a given case.

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