ICD Code M62.212

ICD code M62.212 is used to classify and document a medical condition known as a nontraumatic ischemic infarction of muscle in the left shoulder. This condition refers to the death of muscle tissue in the left shoulder due to a lack of blood supply, which is not caused by an external injury or trauma. The code helps healthcare providers accurately record and communicate this specific diagnosis for treatment planning, billing, and statistical purposes.

When to use the ICD code M62212, which pertains to nontraumatic ischemic infarction of muscle in the left shoulder, the following diagnostic criteria and symptoms should be considered:

1. Clinical Presentation:
- Patient reports sudden onset of pain in the left shoulder.
- Pain may be accompanied by weakness or inability to move the shoulder.

2. History of Vascular Issues:
- Patient has a history of vascular diseases, such as peripheral artery disease or atherosclerosis.
- Previous episodes of ischemia or infarction in other muscle groups.

3. Risk Factors:
- Presence of risk factors such as diabetes, hypertension, hyperlipidemia, or smoking.
- Sedentary lifestyle or recent immobilization of the affected limb.

4. Diagnostic Imaging:
- MRI or ultrasound shows signs of muscle infarction or ischemia.
- Absence of trauma or injury in the medical history.

5. Laboratory Findings:
- Elevated levels of muscle enzymes (e.g., creatine kinase) indicating muscle damage.
- Possible presence of metabolic abnormalities contributing to ischemia.

6. Exclusion of Other Conditions:
- Rule out other causes of shoulder pain, such as rotator cuff injuries, tendinitis, or referred pain from cardiac issues.
- Confirmation that the symptoms are not due to trauma or overuse injuries.

7. Clinical Evaluation:
- Physical examination reveals tenderness, swelling, or changes in temperature over the affected area.
- Assessment of blood flow to the shoulder region shows reduced perfusion.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine the necessity of using the ICD code M62212 for billing and documentation purposes.

For the ICD code M62.212, which refers to a nontraumatic ischemic infarction of muscle in the left shoulder, the relevant CPT codes that may be applicable for treatment could include:

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

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

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

4. CPT 24300 - Manipulation, shoulder joint, under anesthesia.

5. CPT 24310 - Tenotomy, shoulder area; single tendon.

6. CPT 24320 - Tenolysis, shoulder area; single tendon.

7. CPT 24330 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

These CPT codes are examples of procedures that might be considered in the management of conditions related to the ICD code M62.212. The specific choice of CPT code would depend on the clinical scenario and the treatment plan determined by the healthcare provider. Always ensure that coding is done in compliance with the latest coding guidelines and payer-specific requirements.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M62212. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.