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ICD-10 Guide
ICD-10 CodesM61.031

M61.031

Billable

Myositis ossificans traumatica, right forearm

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M61.031 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, right forearm.

Key Diagnostic Point:

Myositis ossificans traumatica is a condition characterized by the abnormal formation of bone tissue within muscle or connective tissue following trauma. This condition typically arises after a significant injury, such as a fracture or severe contusion, leading to inflammation and subsequent ossification in the affected area. In the case of the right forearm, the muscle tissue may become inflamed due to trauma, and over time, this inflammation can lead to the deposition of calcium and the formation of bone in the muscle. Clinically, patients may present with localized pain, swelling, and reduced range of motion in the affected forearm. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which can reveal the presence of heterotopic ossification. Treatment may involve physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue if it significantly impairs function. Understanding the underlying muscle disorders and neuromuscular conditions is crucial for effective management and rehabilitation of patients with myositis ossificans.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of trauma-related conditions
  • Differentiation from other types of myositis
  • Need for precise documentation of the location and nature of the injury
  • Potential for co-existing conditions affecting muscle function

Audit Risk Factors

  • Inadequate documentation of trauma history
  • Failure to specify the location of ossification
  • Misclassification of myositis types
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed injury history, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic cases where patients present with pain and swelling in the forearm.

Billing Considerations

Ensure accurate coding of the specific location of ossification and any associated injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment progress notes, and rehabilitation plans.

Common Clinical Scenarios

Patients undergoing rehabilitation after trauma with myositis ossificans.

Billing Considerations

Focus on documenting functional limitations and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use M61.031 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology (trauma) and specific location (right forearm)
  • Include any relevant imaging studies and treatment plans in the documentation

Exclusion Criteria

Do NOT use M61.031 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when joint aspiration is needed due to swelling from myositis ossificans.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists may frequently perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is myositis ossificans traumatica?

Myositis ossificans traumatica is a condition where bone tissue forms within muscle after trauma, leading to pain and functional impairment.

How is myositis ossificans diagnosed?

Diagnosis is typically made through clinical evaluation and imaging studies, such as X-rays or MRI, which reveal calcification in the muscle.