ICD Code M62.211

ICD code M62.211 is used to classify a medical condition known as a nontraumatic ischemic infarction of muscle in the right shoulder. This condition refers to the death of muscle tissue in the right shoulder due to a lack of blood supply, which is not caused by any external injury or trauma. The term "ischemic" indicates that the muscle tissue is deprived of oxygen and nutrients because of reduced blood flow, leading to tissue damage or necrosis. This code is essential for healthcare providers to accurately document and communicate the specific nature of the muscle injury for treatment planning, billing, and insurance purposes.

When to use the ICD code for nontraumatic ischemic infarction of muscle, right shoulder:

1. Presence of Symptoms:
- Patient reports localized pain in the right shoulder.
- Patient experiences weakness or loss of function in the right shoulder.
- Patient exhibits swelling or tenderness in the right shoulder area.

2. Diagnostic Imaging:
- MRI or CT scan shows evidence of ischemic changes in the muscle tissue of the right shoulder.
- Ultrasound reveals reduced blood flow to the right shoulder muscles.

3. Clinical Evaluation:
- Physical examination indicates reduced range of motion in the right shoulder.
- Palpation reveals areas of muscle tenderness or abnormality in the right shoulder.

4. Exclusion of Traumatic Causes:
- Patient history confirms no recent trauma or injury to the right shoulder.
- Differential diagnosis rules out other conditions that could cause similar symptoms (e.g., fractures, dislocations).

5. Underlying Conditions:
- Patient has a history of vascular disease or conditions that predispose to ischemia (e.g., diabetes, hypertension).
- Patient exhibits risk factors such as smoking, obesity, or hyperlipidemia.

6. Duration of Symptoms:
- Symptoms have persisted for a specific duration, indicating a non-acute condition (e.g., symptoms lasting more than a few days).

7. Response to Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, anti-inflammatory medications) suggests a more serious underlying issue.

8. Referral to Specialist:
- Patient is referred to a specialist (e.g., orthopedic surgeon, vascular surgeon) for further evaluation and management of the right shoulder condition.

By following these diagnostic criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code for nontraumatic ischemic infarction of muscle in the right shoulder.

For the ICD code M62.211, which pertains to a nontraumatic ischemic infarction of muscle in the right shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

2. 20551 - Injection(s); single tendon origin/insertion.

3. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

4. 27301 - Exploration, debridement, or removal of foreign body, with or without repair, deep, intramuscular or intermuscular.

5. 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

These CPT codes are examples of procedures that might be considered for addressing the condition described by the ICD code M62.211. The specific choice of CPT code would depend on the clinical scenario and the treatment plan determined by the healthcare provider.

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