ICD Code M62.161

ICD code M62161 is used to classify a nontraumatic rupture of a muscle located in the right lower leg. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and categorize medical diagnoses and conditions. The term "nontraumatic" indicates that the muscle rupture occurred without an external injury or trauma, such as a fall or accident. This could be due to overuse, strain, or an underlying medical condition affecting the muscle integrity. Proper documentation using this code helps in the accurate billing and management of healthcare services related to this specific condition.

When to use the ICD code for "Other rupture of muscle (nontraumatic), right lower leg":

1. Presence of Muscle Rupture: Confirmed diagnosis of a rupture in the muscle tissue of the right lower leg, identified through clinical examination or imaging studies.

2. Non-Traumatic Origin: The rupture must not be the result of an acute traumatic event; instead, it should be attributed to chronic conditions, overuse, or degenerative changes.

3. Symptoms of Pain: Patient reports localized pain in the right lower leg, particularly during movement or palpation of the affected area.

4. Swelling and Inflammation: Observable swelling or inflammation in the right lower leg, which may be accompanied by tenderness.

5. Limited Range of Motion: Patient exhibits restricted movement in the right lower leg, indicating potential muscle impairment.

6. Muscle Weakness: Assessment reveals weakness in the affected muscle group, impacting the patient's ability to perform normal activities.

7. History of Overuse or Strain: Patient has a documented history of repetitive activities or strain that may have contributed to the muscle rupture.

8. Exclusion of Other Conditions: Differential diagnosis confirms that other potential causes of muscle pain or injury have been ruled out, ensuring that the diagnosis specifically pertains to a nontraumatic muscle rupture.

9. Follow-Up Evaluation: Ongoing assessment indicates that the condition persists or has not improved with conservative management, warranting the use of the ICD code for documentation and billing purposes.

For the ICD code M62.161, which pertains to "Other rupture of muscle (nontraumatic), right lower leg," the relevant CPT codes that may be applicable for treatment include:

1. 27385 - Suture of infrapatellar tendon.

2. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; without graft.

3. 27652 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; with graft.

4. 27654 - Repair, secondary, Achilles tendon, with or without graft.

5. 27658 - Repair of ruptured musculotendinous junction or tendon, leg or ankle; primary, without graft.

6. 27659 - Repair of ruptured musculotendinous junction or tendon, leg or ankle; secondary, with or without graft.

These CPT codes are typically used for surgical interventions related to muscle or tendon ruptures in the lower leg. The selection of the appropriate CPT code would depend on the specific procedure performed and the clinical scenario. Always ensure that coding is done in accordance with the latest coding guidelines and payer-specific requirements.

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