ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM61.18

M61.18

Billable

Myositis ossificans progressiva, other site

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

Code Description

ICD-10 M61.18 is a billable code used to indicate a diagnosis of myositis ossificans progressiva, other site.

Key Diagnostic Point:

Myositis ossificans progressiva (MOP) is a rare genetic disorder characterized by the abnormal formation of bone in muscles, tendons, and other connective tissues. This condition typically begins in early childhood and progresses over time, leading to significant muscle weakness and restricted mobility. The hallmark of MOP is the formation of heterotopic ossification, where soft tissues become calcified, resulting in painful muscle stiffness and decreased range of motion. The condition is often misdiagnosed as trauma or other muscle disorders due to its progressive nature and the variability of symptoms. Patients may experience episodes of swelling and inflammation in the affected muscles, which can be exacerbated by physical activity or injury. Diagnosis is primarily clinical, supported by imaging studies that reveal abnormal bone formation. Genetic testing can confirm mutations in the ACVR1 gene, which are responsible for the condition. Management focuses on symptomatic relief, physical therapy, and avoiding invasive procedures that may trigger further ossification. Understanding the complexities of MOP is crucial for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rare condition with limited awareness among healthcare providers
  • Requires specific genetic testing for confirmation
  • Symptoms can mimic other musculoskeletal disorders
  • Need for detailed documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to include genetic testing results
  • Misinterpretation of imaging studies
  • Inconsistent coding of related symptoms

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed clinical notes on muscle weakness, pain, and mobility limitations; imaging studies; and genetic testing results.

Common Clinical Scenarios

Patients presenting with unexplained muscle stiffness, swelling, or pain, particularly after minor injuries.

Billing Considerations

Rheumatologists should be aware of the genetic component and the need for multidisciplinary management.

Genetics

Documentation Requirements

Comprehensive family history, genetic testing results, and detailed clinical evaluations.

Common Clinical Scenarios

Patients with a family history of myositis ossificans or unexplained ossification.

Billing Considerations

Geneticists must ensure accurate coding based on confirmed genetic mutations.

Coding Guidelines

Inclusion Criteria

Use M61.18 When
  • According to ICD
  • 10 guidelines, M61
  • 18 should be used when myositis ossificans progressiva is confirmed at a site other than the commonly affected areas
  • Coders must ensure that documentation supports the diagnosis and that any related conditions are accurately captured

Exclusion Criteria

Do NOT use M61.18 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for management of myositis ossificans.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Rheumatologists should document the progression of symptoms and treatment response.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Myositis ossificans progressiva: A clinical overview

Coding & Billing References

  • •
    Myositis ossificans progressiva: A clinical overview

Frequently Asked Questions

What is myositis ossificans progressiva?

Myositis ossificans progressiva is a rare genetic disorder characterized by the abnormal formation of bone in muscles and connective tissues, leading to progressive muscle weakness and stiffness.