ICD CODES

ICD Code M62.469

ICD code M62469 is used to identify a contracture of muscle in an unspecified lower leg, aiding in accurate diagnosis and treatment documentation.

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What is ICD diagnosis code M62.469

ICD code M62469 is used to identify a medical condition characterized by the contracture of a muscle in the lower leg, where the specific muscle affected is not specified. A contracture refers to the permanent tightening or shortening of a muscle or tendon, which can lead to reduced flexibility and movement in the affected area. This code is utilized by healthcare providers to document and communicate this particular condition for billing, treatment planning, and statistical purposes within the healthcare system.

When to use ICD code M62.469

When considering the use of the ICD code M62469 for contracture of muscle in the unspecified lower leg, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of Muscle Contracture
- Evidence of muscle shortening or tightening in the lower leg.

2. Limited Range of Motion
- Difficulty or inability to fully extend or flex the affected muscle group.

3. Pain or Discomfort
- Reports of pain or discomfort in the lower leg associated with muscle tightness.

4. Functional Impairment
- Challenges in performing daily activities or mobility due to muscle contracture.

5. Duration of Symptoms
- Symptoms persisting for a significant period, typically beyond acute injury or temporary conditions.

6. Exclusion of Other Conditions
- Ruling out other potential causes of muscle tightness or contracture, such as neurological disorders or previous injuries.

7. Physical Examination Findings
- Observations during a physical exam indicating muscle tightness or deformity in the lower leg.

8. Imaging or Diagnostic Tests
- Results from imaging studies (if applicable) that support the diagnosis of muscle contracture.

9. Response to Treatment
- Evaluation of the effectiveness of any previous treatments or interventions aimed at alleviating symptoms.

By assessing these criteria, healthcare providers can determine the appropriate use of the ICD code for accurate documentation and billing purposes.

Billable CPT codes for ICD code M62.469

For the ICD code M62.469, which refers to a contracture of muscle in an unspecified lower leg, 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. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

4. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

5. 29240 - Strapping; ankle and/or foot.

6. 29540 - Strapping; ankle and/or foot.

7. 29550 - Application of short leg cast (below knee to toes).

8. 29580 - Application of Unna boot.

These CPT codes are examples of procedures and therapies that may be used in the management and treatment of muscle contractures in the lower leg. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment plan and interventions provided to the patient.

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