ICD Code M62.149

ICD code M62149 is used to classify and document instances where there is a rupture of a muscle in the hand that is not caused by trauma or injury. This code is specifically for cases where the rupture occurs in an unspecified hand, meaning it does not specify whether it is the left or right hand. The term "nontraumatic" indicates that the rupture is due to factors other than an external force or injury, such as overuse, degenerative changes, or other internal conditions affecting the muscle tissue. This code helps healthcare providers accurately record and communicate the diagnosis for treatment and billing purposes.

When to use the ICD code M62149 for other rupture of muscle (nontraumatic), unspecified hand:

1. Presence of Muscle Rupture Symptoms:
- Sudden onset of pain in the hand.
- Swelling or bruising in the affected area.
- Limited range of motion or inability to use the hand effectively.

2. Non-Traumatic Origin:
- No recent history of trauma or injury to the hand.
- Symptoms arising from overuse or repetitive strain.

3. Diagnostic Imaging Findings:
- MRI or ultrasound confirming the presence of a muscle rupture without evidence of trauma.
- Absence of fractures or other acute injuries in imaging studies.

4. Clinical Examination:
- Tenderness upon palpation of the affected muscle.
- Weakness in hand grip or specific movements related to the affected muscle.

5. Exclusion of Other Conditions:
- Rule out other potential causes of hand pain, such as tendon injuries or ligament sprains.
- Ensure that the symptoms cannot be attributed to systemic conditions or other musculoskeletal disorders.

6. Duration of Symptoms:
- Symptoms persisting for a duration that suggests a non-traumatic rupture rather than an acute injury.

7. Patient History:
- Consideration of the patient's medical history, including any chronic conditions that may predispose them to muscle ruptures, such as connective tissue disorders.

8. Response to Conservative Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, compression, elevation) may indicate the need for further evaluation and coding.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to apply the ICD code M62149.

For the ICD code M62.149, which pertains to "Other rupture of muscle (nontraumatic), unspecified hand," the relevant CPT codes that may be applicable for treatment include:

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

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

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

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

5. CPT 26350 - Repair, tendon or muscle, flexor, hand, primary or secondary, single, each tendon or muscle.

6. CPT 26356 - Repair, tendon or muscle, extensor, hand, primary or secondary, single, each tendon or muscle.

These CPT codes are examples of procedures that might be performed to address the condition described by ICD code M62.149. The selection of the appropriate CPT code will depend on the specific clinical scenario and the surgical approach taken by the healthcare provider.

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