ICD Code M62.48

ICD code M62.48 is used to identify a medical condition known as "Contracture of muscle, other site." 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. Specifically, M62.48 refers to a situation where there is a permanent shortening of a muscle or group of muscles in a location that is not specified elsewhere in the ICD coding system. This condition can lead to restricted movement and may be caused by various factors such as injury, prolonged immobility, or underlying medical conditions. Proper coding of this condition is crucial for accurate medical records, billing, and treatment planning.

When to use the ICD code M6248 (Contracture of muscle, other site):

1. Presence of Muscle Contracture: The patient exhibits a noticeable shortening or tightening of a muscle that restricts movement.

2. Location Specification: The contracture occurs in a muscle that is not commonly specified in other ICD codes, indicating it is in an atypical site.

3. Functional Impairment: The contracture leads to a significant limitation in the range of motion or functionality of the affected area.

4. Duration of Symptoms: The muscle contracture has been persistent, typically lasting for an extended period, rather than being a temporary condition.

5. Associated Symptoms: The patient may report additional symptoms such as pain, stiffness, or discomfort in the affected area.

6. Exclusion of Other Conditions: Other potential causes of muscle tightness or contracture have been ruled out, ensuring that the diagnosis specifically pertains to a contracture.

7. Impact on Daily Activities: The contracture affects the patient’s ability to perform daily activities or tasks, indicating a need for intervention.

8. Clinical Evaluation: A thorough clinical evaluation has been conducted, confirming the diagnosis through physical examination and possibly imaging studies if necessary.

9. Treatment History: Previous treatments or interventions have been attempted without successful resolution of the contracture.

10. Documentation of Progression: There is evidence of progression or worsening of the contracture over time, necessitating the use of the specific ICD code for accurate tracking and management.

For the ICD code M62.48, which pertains to contracture of muscle at other sites, 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. 20552 - Injection(s); single or multiple trigger point(s), one or two muscle(s).

4. 20553 - Injection(s); single or multiple trigger point(s), three or more muscles.

5. 24300 - Manipulation, elbow, under anesthesia.

6. 24305 - Manipulation, wrist, under anesthesia.

7. 24310 - Manipulation, finger joint, under anesthesia, each joint.

8. 27096 - Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.

9. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

10. 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 might be used to address the condition described by ICD code M62.48. The specific choice of CPT code would depend on the individual patient's treatment plan and the healthcare provider's clinical judgment. Always consult with a coding specialist or use official coding resources to ensure accurate and compliant coding practices.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments for CPT codes related to ICD code M6248. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.