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ICD-10 Guide
ICD-10 CodesM61.051

M61.051

Billable

Myositis ossificans traumatica, right thigh

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

Code Description

ICD-10 M61.051 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, right thigh.

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 occurs after a significant injury, such as a fracture or severe contusion, leading to inflammation and subsequent calcification of the affected muscle. In the case of myositis ossificans traumatica of the right thigh, the muscle tissue in this area undergoes a pathological transformation, resulting in pain, swelling, and restricted movement. Patients may experience muscle weakness and stiffness, which can significantly impact mobility and quality of life. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which 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 causes significant functional impairment. Understanding the underlying mechanisms of muscle disorders and neuromuscular conditions is crucial for effective management and rehabilitation of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific muscle pathology.
  • Differentiation from other types of myositis.
  • Need for precise documentation of trauma history.
  • Potential for co-morbid conditions affecting muscle function.

Audit Risk Factors

  • Inadequate documentation of the traumatic event.
  • Failure to specify the location of ossification.
  • Misclassification of myositis type.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of trauma, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic cases following sports injuries or accidents.

Billing Considerations

Ensure accurate coding of the specific muscle involved and any associated injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, rehabilitation goals, and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation after trauma leading to myositis ossificans.

Billing Considerations

Focus on documenting functional limitations and treatment responses.

Coding Guidelines

Inclusion Criteria

Use M61.051 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the traumatic event and specific muscle involvement
  • Include any relevant imaging studies and treatment plans in the medical record

Exclusion Criteria

Do NOT use M61.051 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 associated swelling.

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