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ICD-10 Guide
ICD-10 CodesM61.32

M61.32

Billable

Calcification and ossification of muscles associated with burns, upper arm

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

Code Description

ICD-10 M61.32 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, upper arm.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns in the upper arm is a condition that arises following thermal injuries, where the muscle tissue undergoes pathological changes leading to abnormal mineralization. This process can result in muscle stiffness, reduced range of motion, and functional impairment. The calcification may occur due to the inflammatory response triggered by the burn, leading to myositis, which is the inflammation of muscle tissue. Over time, the inflammatory process can lead to the deposition of calcium salts in the muscle, resulting in ossification. Patients may experience muscle weakness, pain, and decreased mobility in the affected arm. The condition is particularly concerning in the upper arm due to its role in various daily activities and the potential for long-term disability if not properly managed. Treatment often involves physical therapy, pain management, and in some cases, surgical intervention to remove calcified tissue. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of burn-related complications
  • Differentiation from other muscle disorders
  • Need for precise documentation of burn severity
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to document associated muscle weakness
  • Lack of clarity on the extent of calcification
  • Misclassification of the site of calcification

Specialty Focus

Medical Specialties

Physical Medicine and Rehabilitation

Documentation Requirements

Detailed assessment of muscle function, range of motion, and impact on daily activities.

Common Clinical Scenarios

Patients recovering from severe burns with muscle stiffness and weakness.

Billing Considerations

Emphasis on functional outcomes and rehabilitation goals.

Orthopedic Surgery

Documentation Requirements

Surgical notes detailing the extent of calcification and any interventions performed.

Common Clinical Scenarios

Surgical intervention for removal of calcified tissue in the upper arm.

Billing Considerations

Documentation of pre-operative assessments and post-operative recovery plans.

Coding Guidelines

Inclusion Criteria

Use M61.32 When
  • According to ICD
  • 10 guidelines, M61
  • 32 should be used when there is clear documentation of calcification and ossification of muscles specifically associated with burns in the upper arm
  • It is important to ensure that the burn injury is documented with the appropriate severity and location codes

Exclusion Criteria

Do NOT use M61.32 When
  • Exclusion criteria include conditions not directly related to burn injuries

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of muscle strength in patients with calcification post-burn.

Documentation Requirements

Documentation of the patient's functional limitations and therapy goals.

Specialty Considerations

Physical therapy notes should clearly outline the relationship between the burn injury and muscle dysfunction.

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 M61.32, improving the accuracy of billing and treatment planning. The granularity of ICD-10 codes helps in capturing the complexity of burn-related complications, leading to better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.32, improving the accuracy of billing and treatment planning. The granularity of ICD-10 codes helps in capturing the complexity of burn-related complications, leading to better patient management.

Reimbursement & Billing Impact

billing and treatment planning. The granularity of ICD-10 codes helps in capturing the complexity of burn-related complications, leading to better patient management.

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 the primary cause of calcification in muscles associated with burns?

The primary cause is the inflammatory response to the burn injury, which can lead to myositis and subsequent calcification as calcium deposits accumulate in the damaged muscle tissue.