ICD Code M62.442

ICD code M62.442 is used to specify a diagnosis of contracture of muscle in the left hand. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. A contracture refers to the permanent tightening of muscles, tendons, skin, and nearby tissues, which can lead to restricted movement and function. In this case, the code specifically identifies that the contracture is affecting the muscles of the left hand, which can impact a patient's ability to perform daily tasks and may require medical intervention such as physical therapy or surgery.

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

1. Presence of Muscle Contracture
- Evidence of shortening or tightening of muscle fibers in the left hand.

2. Functional Impairment
- Difficulty in performing daily activities or tasks involving the left hand due to limited range of motion.

3. Pain or Discomfort
- Reports of pain or discomfort in the left hand associated with the muscle contracture.

4. Duration of Symptoms
- Symptoms persisting for a significant period, indicating a chronic condition rather than an acute injury.

5. Physical Examination Findings
- Observations during a physical examination that confirm the presence of muscle tightness or deformity in the left hand.

6. Exclusion of Other Conditions
- Ruling out other potential causes of hand dysfunction or pain, such as fractures, tendon injuries, or neurological disorders.

7. Impact on Quality of Life
- Assessment of how the contracture affects the patient’s overall quality of life, including limitations in work or recreational activities.

8. Response to Treatment
- Evaluation of the effectiveness of any previous treatments or interventions aimed at addressing the muscle contracture.

9. Referral to Specialist
- Consideration of referral to a specialist (e.g., orthopedic surgeon or physical therapist) for further evaluation and management if conservative treatments are ineffective.

For the ICD code M62.442, which pertains to contracture of muscle in the left hand, 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 20551 - Injection(s); single tendon origin/insertion.

3. CPT 26055 - Fasciotomy, palmar (e.g., Dupuytren's contracture); percutaneous.

4. CPT 26123 - Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint.

5. CPT 26125 - Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint; with release of additional digit (each).

6. CPT 26340 - Manipulation, finger joint, under anesthesia, each joint.

These CPT codes are typically used for procedures that address muscle contractures in the hand, including injections, surgical interventions, and manipulations. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment provided to ensure accurate billing and reimbursement.

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