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ICD-10 Guide
ICD-10 CodesM61.342

M61.342

Billable

Calcification and ossification of muscles associated with burns, left hand

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

Code Description

ICD-10 M61.342 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, left hand.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition that arises following thermal injury to the skin and underlying tissues. In the case of burns, the muscle tissue can undergo pathological changes, leading to calcification and ossification. This process can result in stiffness, decreased range of motion, and muscle weakness in the affected area, particularly in the left hand in this instance. The calcification occurs as a response to injury, where calcium deposits form in the muscle tissue, while ossification refers to the transformation of muscle tissue into bone-like structures. This condition can complicate recovery from burns, necessitating rehabilitation and possibly surgical intervention to restore function. Patients may experience myositis, characterized by inflammation of the muscle tissue, which can further contribute to muscle weakness and neuromuscular dysfunction. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of burn-related complications
  • Involves distinguishing between calcification and ossification
  • Need for precise documentation of affected body part
  • Potential for co-morbid conditions affecting muscle function

Audit Risk Factors

  • Inadequate documentation of burn severity and extent
  • Failure to specify the affected muscle groups
  • Lack of clarity on the timeline of injury and treatment
  • Misclassification of calcification versus ossification

Specialty Focus

Medical Specialties

Burn Surgery

Documentation Requirements

Detailed notes on burn depth, size, and treatment interventions.

Common Clinical Scenarios

Management of burn injuries with subsequent muscle complications.

Billing Considerations

Documentation should include specifics on rehabilitation efforts and outcomes.

Physical Medicine and Rehabilitation

Documentation Requirements

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

Common Clinical Scenarios

Rehabilitation following burn injuries leading to muscle calcification.

Billing Considerations

Focus on functional outcomes and therapy progress notes.

Coding Guidelines

Inclusion Criteria

Use M61.342 When
  • Follow official ICD
  • CM guidelines for coding injuries and complications
  • Ensure that the documentation supports the diagnosis, including the specific location and nature of the muscle involvement

Exclusion Criteria

Do NOT use M61.342 When
  • Exclude codes for unrelated muscle disorders

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation to improve muscle strength and range of motion post-burn.

Documentation Requirements

Document specific exercises performed and patient progress.

Specialty Considerations

Physical therapy notes should reflect the impact of calcification on therapy goals.

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 calcification and ossification associated with burns, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like calcification and ossification associated with burns, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 significance of coding M61.342 accurately?

Accurate coding of M61.342 is crucial for ensuring appropriate treatment planning, reimbursement, and tracking of burn-related complications. It helps healthcare providers understand the extent of muscle involvement and guides rehabilitation efforts.