ICD Code M62.511

ICD code M62.511 is used to identify a medical condition characterized by muscle wasting and atrophy, specifically affecting the right shoulder. 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. Muscle wasting and atrophy refer to the loss of muscle mass and strength, which can result from various underlying conditions such as disuse, malnutrition, or neurological disorders. The specification of "not elsewhere classified" indicates that this condition does not fit into other more specific categories within the ICD system. This code is crucial for accurate medical documentation, billing, and ensuring that patients receive appropriate care and treatment for their condition.

When to use the ICD code for muscle wasting and atrophy, not elsewhere classified, right shoulder:

1. Presence of Muscle Wasting
- Observable reduction in muscle mass in the right shoulder area.

2. Atrophy Diagnosis
- Documented evidence of muscle atrophy through physical examination or imaging studies.

3. Location Specification
- Symptoms specifically localized to the right shoulder, excluding other areas of the body.

4. Exclusion of Other Conditions
- No other specific diagnosis that explains the muscle wasting and atrophy (e.g., neurological disorders, trauma, or systemic diseases).

5. Duration of Symptoms
- Symptoms have been present for a significant duration, indicating a chronic condition rather than an acute injury.

6. Functional Impairment
- Evidence of decreased function or strength in the right shoulder affecting daily activities.

7. Associated Symptoms
- Presence of related symptoms such as pain, weakness, or limited range of motion in the right shoulder.

8. Clinical Documentation
- Comprehensive clinical documentation supporting the diagnosis, including patient history and physical examination findings.

9. Treatment History
- Previous treatment attempts for muscle wasting or atrophy that have not resulted in improvement.

10. Referral to Specialists
- Referral to a specialist (e.g., neurologist, orthopedic surgeon) for further evaluation if indicated.

For the ICD code M62.511, which pertains to muscle wasting and atrophy of the right shoulder, the relevant CPT codes that may be applicable for treatment could include:

1. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

2. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception.

3. 97140 - Manual therapy techniques, such as mobilization/manipulation, manual lymphatic drainage, and manual traction.

4. 97530 - Therapeutic activities, direct (one-on-one) patient contact by the provider, using dynamic activities to improve functional performance.

5. 97750 - Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes.

6. 20552 - Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s).

7. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder).

These CPT codes are examples of procedures and therapies that might be used to address the condition associated with ICD code M62.511. It is important for healthcare providers to select the most appropriate CPT codes based on the specific treatment plan and services provided to the patient.

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