ICD Code M62.152

ICD code M62152 is used to classify and document a nontraumatic rupture of a muscle located in the left thigh. This code is part of the International Classification of Diseases (ICD) system, which is utilized by healthcare providers to ensure accurate diagnosis and billing. The code specifically indicates that the muscle rupture occurred without any external trauma or injury, such as an accident or fall, and is localized to the left thigh region. This classification helps in the management of patient records, facilitating appropriate treatment plans, and ensuring precise communication with insurance companies for reimbursement purposes.

When to use the ICD code for "Other rupture of muscle (nontraumatic), left thigh":

1. Patient Presentation:

- Patient reports sudden onset of pain in the left thigh without a history of trauma.

2. Physical Examination Findings:

- Swelling or bruising observed in the left thigh area.

- Tenderness upon palpation of the left thigh muscles.

3. Range of Motion Assessment:

- Limited range of motion in the left thigh due to pain or discomfort.

4. Functional Impairment:

- Difficulty in performing activities such as walking, running, or climbing stairs.

5. Diagnostic Imaging:

- MRI or ultrasound confirms the presence of a muscle rupture in the left thigh.

6. Exclusion of Traumatic Causes:

- No evidence of recent injury or trauma to the left thigh that could explain the symptoms.

7. Chronic Conditions:

- Consideration of underlying chronic conditions that may predispose the patient to nontraumatic muscle rupture (e.g., previous muscle injuries, degenerative muscle diseases).

8. Patient History:

- Review of medical history indicating previous muscle issues or conditions that could lead to nontraumatic ruptures.

9. Symptom Duration:

- Symptoms persisting for a duration consistent with muscle rupture (typically acute onset).

10. Response to Conservative Treatment:

- Lack of improvement with conservative management (rest, ice, compression, elevation) over a specified period.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M62.152, which pertains to "Other rupture of muscle (nontraumatic), left thigh," the relevant CPT codes that may be applicable for treatment include:

1. 27385 - Suture of infrapatellar tendon.

2. 27386 - Suture of quadriceps or hamstring muscle rupture; primary.

3. 27387 - Suture of quadriceps or hamstring muscle rupture; secondary.

4. 27658 - Repair, flexor tendon, leg; primary, without graft, each tendon.

5. 27659 - Repair, flexor tendon, leg; secondary, with or without graft, each tendon.

These CPT codes are examples of procedures that might be considered for addressing muscle ruptures in the thigh region. It is important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and the procedures performed. Always ensure that coding is aligned with the latest coding guidelines and payer policies.

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