ICD Code M62.459

ICD code M62459 is used to identify a condition known as a contracture of muscle in an unspecified thigh. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. In this case, the code specifically refers to a situation where there is a permanent shortening of the muscle in the thigh, leading to restricted movement. However, the code does not specify whether the condition affects the left or right thigh, hence it is labeled as "unspecified." This code is crucial for accurate medical documentation, billing, and ensuring that healthcare providers can track and manage patient care effectively.

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

1. Presence of Muscle Contracture: The patient exhibits a noticeable shortening or tightening of the muscle in the thigh region.

2. Limited Range of Motion: The patient experiences restricted movement in the affected thigh, impacting daily activities or mobility.

3. Pain or Discomfort: The patient reports pain or discomfort in the thigh area, particularly when attempting to move or stretch the muscle.

4. History of Injury or Trauma: There is a documented history of injury, trauma, or surgery that may have contributed to the development of the muscle contracture.

5. Neuromuscular Conditions: The patient has a known neuromuscular disorder that predisposes them to muscle contractures.

6. Postural Abnormalities: The patient presents with postural abnormalities that may lead to muscle imbalances and subsequent contractures.

7. Chronic Conditions: The patient has chronic conditions, such as arthritis or stroke, that may result in muscle contractures over time.

8. Physical Examination Findings: The physical examination reveals tightness or rigidity in the thigh muscles, confirming the presence of a contracture.

9. Functional Impairment: The contracture results in functional impairment, affecting the patient's ability to perform activities of daily living.

10. Therapeutic Intervention: The patient is undergoing or has undergone therapeutic interventions (e.g., physical therapy) aimed at addressing the muscle contracture.

For the ICD code M62.459, which pertains to a contracture of muscle in an unspecified thigh, 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. 27096 - Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.

4. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

5. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

6. 97750 - Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes.

These CPT codes are examples of procedures that might be used to address the condition associated with ICD code M62.459. The selection of specific CPT codes would depend on the individual patient's treatment plan and the healthcare provider's clinical judgment.

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 M62459. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.