ICD Code M62.49

ICD code M62.49 is used to identify the condition known as "Contracture of muscle, multiple sites." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a standardized system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, M62.49 refers to a condition where there is a permanent shortening of muscles at multiple locations in the body, leading to restricted movement and flexibility. This can result from various causes, including injury, prolonged immobility, or underlying medical conditions. Proper coding of this condition is crucial for accurate medical billing and ensuring that healthcare providers receive appropriate reimbursement for the care provided.

When to use the ICD code M6249 (Contracture of muscle, multiple sites):

1. Presence of Muscle Contractures: Documented evidence of muscle contractures affecting multiple sites in the body.

2. Functional Limitations: Patient exhibits limitations in mobility or function due to the contractures, impacting daily activities.

3. Duration of Symptoms: Symptoms have persisted for a significant period, indicating a chronic condition rather than an acute injury.

4. Associated Conditions: Presence of underlying conditions that may contribute to muscle contractures, such as neurological disorders, musculoskeletal diseases, or previous surgeries.

5. Physical Examination Findings: Clinical assessment reveals tightness or shortening of muscles at multiple anatomical sites.

6. Patient History: A comprehensive history indicating previous injuries, surgeries, or conditions that may have led to the development of muscle contractures.

7. Exclusion of Other Diagnoses: Other potential causes of muscle tightness or limitation have been ruled out through diagnostic testing or clinical evaluation.

8. Impact on Quality of Life: The contractures are affecting the patient's quality of life, necessitating medical intervention or therapy.

9. Treatment Plan: A treatment plan has been established that addresses the contractures, including physical therapy, surgical options, or other interventions.

10. Documentation of Symptoms: Clear documentation of symptoms such as pain, stiffness, or weakness associated with the contractures at multiple sites.

For the ICD code M62.49, which pertains to contracture of muscle at multiple 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. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

6. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities (each 15 minutes).

7. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

8. 97750 - Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes.

These CPT codes are examples of procedures and services that might be utilized in the treatment of muscle contractures at multiple sites. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment plan and interventions provided to the patient.

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