ICD Code M62.411

ICD code M62411 is used to identify a medical condition known as "Contracture of muscle, right shoulder." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a standardized system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, this code indicates that the patient has a contracture, which is a permanent shortening of the muscle or joint, affecting the right shoulder. This condition can lead to restricted movement and may result from various causes such as injury, surgery, or prolonged immobilization. Proper coding of this condition is crucial for accurate medical records, billing, and treatment planning.

When to use the ICD code for contracture of muscle, right shoulder:

1. Presence of Muscle Contracture
- Documented limitation in the range of motion of the right shoulder due to muscle shortening.

2. Duration of Symptoms
- Symptoms have persisted for a specific duration, typically more than a few weeks, indicating a chronic condition.

3. Functional Impairment
- Evidence of functional limitations in daily activities, such as difficulty lifting the arm or performing overhead tasks.

4. Associated Pain
- Patient reports pain or discomfort in the right shoulder area, particularly during movement.

5. Physical Examination Findings
- Clinical examination reveals tightness or stiffness in the right shoulder muscles, with observable contracture.

6. Exclusion of Other Conditions
- Other potential causes of shoulder pain or limitation (e.g., rotator cuff injury, arthritis) have been ruled out through diagnostic imaging or clinical evaluation.

7. Impact on Quality of Life
- The condition is affecting the patient’s quality of life, leading to decreased participation in work or recreational activities.

8. Treatment History
- Previous treatments (e.g., physical therapy, medications) have been attempted without significant improvement in symptoms.

9. Patient History
- Relevant medical history, such as previous shoulder injuries or surgeries, that may contribute to the current condition.

10. Referral for Specialist Evaluation
- The patient has been referred to a specialist for further evaluation and management of the shoulder contracture.

For the ICD code M62.411, which pertains to a contracture 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. 23700 - Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded).

5. 24300 - Manipulation, elbow, under anesthesia.

6. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

7. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are typically used in the context of procedures and treatments that may be relevant for addressing a contracture of the muscle in the right shoulder. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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