ICD Code M62.419

ICD code M62.419 is used to identify a condition characterized by the contracture of a muscle in an unspecified shoulder. This means that the muscle in the shoulder has become shortened or tightened, leading to a restriction in movement and flexibility. The term "unspecified" indicates that the documentation does not specify whether the contracture is in the left or right shoulder. This code is crucial for healthcare providers to accurately document and communicate the patient's condition for treatment planning and billing purposes.

When to use the ICD code M62419 for contracture of muscle, unspecified shoulder, consider the following diagnostic criteria and symptoms:

1. Limited Range of Motion: The patient exhibits a significant reduction in the ability to move the shoulder joint in various directions.

2. Muscle Tightness: There is noticeable tightness or stiffness in the shoulder muscles, which may be accompanied by discomfort.

3. Pain: The patient reports pain in the shoulder area, particularly during movement or when attempting to stretch the affected muscles.

4. Functional Impairment: The patient experiences difficulty performing daily activities that require shoulder movement, such as reaching overhead or lifting objects.

5. History of Injury or Surgery: There is a documented history of trauma, surgery, or other medical conditions that may have contributed to the development of muscle contracture in the shoulder.

6. Physical Examination Findings: A clinical examination reveals muscle shortening or contracture, with potential asymmetry compared to the contralateral shoulder.

7. Absence of Other Diagnoses: Other potential causes of shoulder pain or dysfunction, such as rotator cuff tears or arthritis, have been ruled out through appropriate diagnostic imaging or evaluation.

8. Duration of Symptoms: The symptoms have persisted for a significant period, typically beyond a few weeks, indicating a chronic condition rather than an acute injury.

9. Response to Treatment: The patient has shown limited or no improvement with conservative treatment measures, such as physical therapy or medication.

10. Patient Age and Activity Level: Consideration of the patient's age and activity level, as certain populations may be more prone to developing muscle contractures due to inactivity or age-related changes.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for documentation and billing purposes.

For the ICD code M62.419, which pertains to a contracture of muscle in an unspecified 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. 23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

5. 23412 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.

6. 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

7. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

8. 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 may be used to address the condition associated with ICD code M62.419. The selection of specific CPT codes should be based on the individual patient's treatment plan and the healthcare provider's clinical judgment.

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