ICD Code M62.412

ICD code M62.412 is used to identify a medical condition known as the contracture of muscle in the left shoulder. This condition involves the shortening and hardening of muscles, tendons, or other tissue, which can lead to a decrease in the range of motion and flexibility of the left shoulder. It is important for healthcare providers to accurately document this condition using the ICD code to ensure proper treatment planning, billing, and communication with insurance companies.

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

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

2. Duration of Symptoms
- Symptoms have persisted for a significant period, typically more than three months.

3. Functional Impairment
- Evidence of decreased functionality in daily activities involving the left shoulder, such as lifting, reaching, or overhead activities.

4. Pain or Discomfort
- Patient reports pain or discomfort in the left shoulder region associated with the contracture.

5. Physical Examination Findings
- Clinical examination reveals tightness or stiffness in the left shoulder muscles, with observable changes in muscle tone.

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, including work, recreation, or other activities.

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

9. Associated Symptoms
- Presence of associated symptoms such as muscle weakness or atrophy in the left shoulder region.

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

For the ICD code M62.412, which pertains to the contracture of muscle in the left shoulder, the relevant CPT codes that may be applicable for treatment include:

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

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

3. CPT 23700 - Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded).

4. CPT 24300 - Manipulation, elbow, under anesthesia.

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

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

These CPT codes are examples of procedures that might be used in the treatment plan for a contracture of the muscle in the left shoulder, as indicated by ICD code M62.412. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment provided to the patient.

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