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ICD-10 Guide
ICD-10 CodesM61.071

M61.071

Billable

Myositis ossificans traumatica, right ankle and foot

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

Code Description

ICD-10 M61.071 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, right ankle and foot.

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 M61.071, the condition specifically affects the right ankle and foot. Clinically, patients may present with localized pain, swelling, and reduced range of motion in the affected limb. The diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which reveal the presence of heterotopic bone formation. 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, as myositis ossificans can lead to muscle weakness and functional limitations if not appropriately managed.

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 injury mechanism
  • Potential for co-existing conditions affecting the ankle and foot

Audit Risk Factors

  • Inadequate documentation of the traumatic event
  • Failure to specify the affected anatomical site
  • Misclassification of myositis types
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Post-traumatic evaluation of ankle injuries, surgical intervention for ossification.

Billing Considerations

Ensure accurate coding of the specific site of ossification and any related procedures.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and pain management strategies.

Common Clinical Scenarios

Rehabilitation following trauma, management of pain and mobility issues.

Billing Considerations

Documenting the impact of myositis ossificans on functional abilities is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use M61.071 When
  • Follow ICD
  • CM guidelines for coding myositis ossificans, ensuring accurate documentation of the traumatic event and affected site
  • Include any relevant co
  • morbidities that may impact treatment

Exclusion Criteria

Do NOT use M61.071 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 for pain management in cases of myositis ossificans.

Documentation Requirements

Document the reason for the procedure and the specific joint involved.

Specialty Considerations

Orthopedic specialists may perform this procedure for symptomatic relief.

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 claims and enhancing data collection for research and treatment outcomes.

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 claims and enhancing data collection for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of claims and enhancing data collection for research and treatment outcomes.

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.