ICD Code M62.451

ICD code M62451 is used to identify a medical condition known as "Contracture of muscle, right thigh." This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), which is a 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 a muscle or joint, affecting the muscle in the right thigh. This condition can lead to decreased range of motion and may require medical intervention such as physical therapy or surgery to improve mobility and function.

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

1. Presence of Muscle Contracture
- Evidence of reduced range of motion in the right thigh muscle.

2. Duration of Symptoms
- Symptoms persist for a significant period, typically longer than three months.

3. Functional Impairment
- Difficulty in performing daily activities or tasks that require movement of the right thigh.

4. Pain or Discomfort
- Patient reports pain or discomfort localized to the right thigh area, particularly during movement.

5. Physical Examination Findings
- Observations of tightness or shortening of the muscle during a physical examination.

6. History of Injury or Trauma
- A documented history of injury, surgery, or trauma to the right thigh that may have contributed to the contracture.

7. Underlying Conditions
- Presence of underlying medical conditions (e.g., neurological disorders, previous surgeries) that may predispose the patient to muscle contractures.

8. Response to Treatment
- Lack of improvement or resolution of symptoms despite conservative treatment measures (e.g., physical therapy, stretching exercises).

9. Imaging or Diagnostic Tests
- Results from imaging studies (e.g., MRI, ultrasound) indicating structural changes or abnormalities in the muscle.

10. Referral to Specialist
- Referral to a specialist (e.g., orthopedic surgeon, physical therapist) for further evaluation and management of the condition.

For the ICD code M62.451, which refers to a contracture of muscle in the right thigh, the relevant CPT codes that may be applicable for treatment could 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 27096 - Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.

4. CPT 27301 - Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region.

5. CPT 27340 - Excision of tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm.

6. CPT 27345 - Excision of tumor, soft tissue of thigh or knee area, subfascial (e.g., intramuscular); less than 5 cm.

7. CPT 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; without graft.

8. CPT 27652 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; with graft (includes obtaining graft).

These CPT codes are examples of procedures that might be considered in the treatment of muscle contracture in the right thigh, depending on the specific clinical scenario and treatment plan determined by the healthcare provider. Always consult with a medical billing specialist or coder to ensure accurate coding based on the specific services provided.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M62451. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.