ICD Code M62.261

ICD code M62.261 is used to classify and document a medical condition known as a nontraumatic ischemic infarction of muscle in the right lower leg. This condition occurs when there is a loss of blood supply to the muscle tissue in the right lower leg, leading to tissue damage or death. The term "nontraumatic" indicates that this condition is not caused by an external injury or trauma but rather by an internal issue, such as a blockage in the blood vessels supplying the muscle. Proper documentation of this ICD code is crucial for accurate medical records, billing, and treatment planning.

When to use the ICD code for nontraumatic ischemic infarction of muscle in the right lower leg, consider the following diagnostic criteria and symptoms:

1. Clinical Presentation:
- Patient reports sudden onset of pain in the right lower leg.
- Pain may be described as severe and persistent.

2. Physical Examination:
- Palpation reveals tenderness in the affected muscle area.
- Assessment may show swelling or edema in the right lower leg.

3. Vascular Assessment:
- Diminished or absent pulse in the right lower leg compared to the left.
- Signs of poor perfusion, such as coolness or pallor of the skin.

4. Imaging Studies:
- MRI or ultrasound shows evidence of muscle infarction or necrosis.
- Angiography may reveal occlusion or significant stenosis of the blood vessels supplying the right lower leg.

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

6. History of Risk Factors:
- Patient has a history of cardiovascular disease, diabetes, or peripheral artery disease.
- Recent history of prolonged immobility or vascular surgery.

7. Response to Treatment:
- Lack of improvement with conservative measures (e.g., rest, elevation).
- Need for further intervention, such as surgical revascularization or thrombolysis.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this condition.

For the ICD code M62.261, which pertains to a nontraumatic ischemic infarction of muscle in the right lower leg, the relevant CPT codes that may be applicable for treatment or diagnostic procedures 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 29580 - Application of an Unna boot.

4. CPT 29581 - Application of multi-layer compression system; leg (below knee), including ankle and foot.

5. CPT 29885 - Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure).

6. CPT 29886 - Arthroscopy, knee, surgical; with synovectomy, limited (e.g., plica or shelf resection) (separate procedure).

7. CPT 29887 - Arthroscopy, knee, surgical; with synovectomy, major, two or more compartments (separate procedure).

These CPT codes are examples of procedures that might be considered in the management or treatment of conditions related to muscle ischemia in the lower leg. It is important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and the services provided. Always ensure that the chosen CPT codes align with the services documented in the patient's medical record.

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