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ICD-10 Guide
ICD-10 CodesM61.032

M61.032

Billable

Myositis ossificans traumatica, left forearm

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

Code Description

ICD-10 M61.032 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, left 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 an injury, such as a fracture or severe contusion, leading to inflammation and subsequent ossification in the affected area. In the case of the left forearm, the muscle tissue may undergo calcification, resulting in pain, swelling, and restricted movement. Clinically, patients may present with muscle weakness and tenderness in the forearm, and imaging studies such as X-rays or MRIs may reveal the presence of heterotopic bone formation. The condition can lead to significant functional impairment if not properly managed, necessitating a multidisciplinary approach involving physical therapy and, in some cases, surgical intervention to remove the ossified tissue. Accurate diagnosis and coding are crucial for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of muscle disorders and their coding nuances.
  • Differentiation from other types of myositis and ossification disorders.
  • Need for precise documentation of trauma history.
  • Potential for co-morbid conditions affecting muscle function.

Audit Risk Factors

  • Insufficient documentation of the traumatic event leading to myositis.
  • Inadequate imaging reports to support the diagnosis.
  • Failure to document associated symptoms such as pain and weakness.
  • Misclassification of the condition as a different type of myositis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of trauma, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic cases following fractures or sports injuries.

Billing Considerations

Need for clear documentation of the mechanism of injury and functional limitations.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of muscle strength, range of motion, and functional status.

Common Clinical Scenarios

Rehabilitation following surgical intervention for myositis ossificans.

Billing Considerations

Focus on functional outcomes and therapy progress notes.

Coding Guidelines

Inclusion Criteria

Use M61.032 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the traumatic event and the specific location of ossification
  • Include any relevant co
  • morbid conditions that may affect treatment

Exclusion Criteria

Do NOT use M61.032 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 aspiration is needed for symptomatic relief in myositis ossificans.

Documentation Requirements

Document the indication for the procedure and any imaging guidance used.

Specialty Considerations

Orthopedic specialists may perform this procedure to alleviate symptoms.

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 diagnoses and treatment plans.

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 diagnoses and treatment plans.

Reimbursement & Billing Impact

reimbursement and compliance.

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 in muscle or connective tissue following trauma, leading to pain and functional impairment.