ICD Code M62.82

ICD code M62.82 is a medical classification used to denote rhabdomyolysis, a condition characterized by the breakdown of muscle tissue that leads to the release of muscle fiber contents into the bloodstream. This can result in complications such as kidney damage due to the harmful substances released from the damaged muscles. Proper coding of this condition is crucial for accurate billing and reimbursement processes in healthcare revenue cycle management.

1. Muscle Pain and Weakness: The patient presents with significant muscle pain and weakness, often affecting large muscle groups such as the thighs, shoulders, or lower back.

2. Dark Urine: The patient reports dark, tea-colored urine, which is a common symptom due to the presence of myoglobin released from damaged muscle tissue.

3. Elevated Creatine Kinase (CK) Levels: Laboratory tests reveal elevated levels of creatine kinase, an enzyme that leaks into the bloodstream when muscle tissue is damaged.

4. Myoglobinuria: Urinalysis indicates the presence of myoglobin, a protein released from damaged muscle fibers, in the urine.

5. Recent Muscle Injury or Trauma: The patient has a history of recent muscle injury, trauma, or excessive physical exertion that could lead to muscle breakdown.

6. Electrolyte Imbalance: Blood tests show electrolyte imbalances, such as hyperkalemia (elevated potassium levels), which can occur due to muscle cell breakdown.

7. History of Drug Use or Toxin Exposure: The patient has a history of using certain medications, illicit drugs, or exposure to toxins known to cause muscle damage.

8. Fever and Malaise: The patient may experience systemic symptoms such as fever, fatigue, or general malaise, often accompanying muscle breakdown.

9. Swelling of Affected Muscles: Physical examination reveals swelling in the affected muscle areas, which may be tender to touch.

10. Renal Dysfunction: There is evidence of renal impairment or acute kidney injury, often due to the kidneys being overwhelmed by myoglobin and other muscle breakdown products.

For the ICD code M62.82, which pertains to rhabdomyolysis, the relevant CPT codes that may be applicable for treatment and management include:

1. CPT 82550 - Creatine kinase (CK), (CPK); total.

2. CPT 82552 - Creatine kinase (CK), (CPK); isoenzymes.

3. CPT 80048 - Basic metabolic panel (Calcium, total).

4. CPT 80053 - Comprehensive metabolic panel.

5. CPT 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour.

6. CPT 96366 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour.

7. CPT 99201-99215 - Evaluation and management services, depending on the complexity and setting of the patient encounter.

These CPT codes are commonly used in the context of diagnosing, monitoring, and treating conditions associated with the ICD code M62.82. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.

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