ICD Code M62.5A2

ICD code M625A2 is used to classify a medical condition characterized by muscle wasting and atrophy specifically located in the lumbosacral region of the back. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of diseases and medical conditions. The lumbosacral region refers to the lower part of the spine, where the lumbar spine meets the sacrum. Muscle wasting and atrophy in this area can result from various underlying conditions, such as nerve damage, prolonged immobility, or systemic diseases, and it can lead to weakness and reduced functionality in the affected muscles. This specific ICD code helps healthcare providers accurately document and communicate the diagnosis for treatment planning and billing purposes.

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

1. Presence of Muscle Wasting
- Observable reduction in muscle mass in the lumbosacral region.

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

3. Exclusion of Other Conditions
- Rule out other specific diagnoses that could explain muscle wasting or atrophy in the back.

4. Chronic Symptoms
- Symptoms persisting for an extended period, typically more than six months.

5. Functional Impairment
- Evidence of decreased functional ability or mobility related to muscle wasting in the lumbosacral area.

6. Associated Symptoms
- Presence of additional symptoms such as pain, weakness, or fatigue in the affected region.

7. Medical History
- Relevant medical history indicating potential causes of muscle wasting, such as neurological disorders, chronic diseases, or previous injuries.

8. Physical Examination Findings
- Clinical findings during a physical examination that support the diagnosis of muscle wasting and atrophy.

9. Treatment Response
- Evaluation of the patient's response to any previous treatments aimed at addressing muscle wasting or related conditions.

10. Referral to Specialists
- Consideration of referral to specialists (e.g., neurologists, physiatrists) for further evaluation if the cause of muscle wasting is unclear.

For the ICD code M625A2, which pertains to muscle wasting and atrophy, not elsewhere classified, back, lumbosacral, the relevant CPT codes that may be applicable for treatment 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, using dynamic activities to improve functional performance.

5. 97750 - Physical performance test or measurement, with written report, each 15 minutes.

6. 99213 - Established patient office or other outpatient visit, typically 15 minutes.

These CPT codes are often used in conjunction with the ICD code M625A2 to address the specific therapeutic and diagnostic needs associated with the condition. 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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