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ICD-10 Guide
ICD-10 CodesM61.371

M61.371

Billable

Calcification and ossification of muscles associated with burns, right ankle and foot

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

Code Description

ICD-10 M61.371 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, right ankle and foot.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition that occurs when muscle tissue undergoes pathological changes due to thermal injury. In the case of burns affecting the right ankle and foot, the muscle tissue may become calcified or ossified as a response to the injury, leading to stiffness, reduced mobility, and potential muscle weakness. This condition can arise from the body's healing process, where calcium deposits form in the damaged muscle tissue, resulting in abnormal bone-like structures. Patients may experience pain, swelling, and limited range of motion in the affected area. The presence of calcification can complicate rehabilitation efforts, as it may hinder muscle function and recovery. Proper diagnosis often involves imaging studies to assess the extent of calcification and to differentiate it from other muscle disorders such as myositis or neuromuscular conditions. Treatment typically includes physical therapy, pain management, and in some cases, surgical intervention to remove excessive calcified tissue.

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 specify the affected muscle groups
  • Misclassification of muscle disorders
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Physical Medicine and Rehabilitation

Documentation Requirements

Detailed assessment of muscle function, range of motion, and pain levels.

Common Clinical Scenarios

Patients recovering from burn injuries with muscle stiffness and weakness.

Billing Considerations

Documentation should include specific therapies used and progress notes.

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical intervention for severe calcification affecting mobility.

Billing Considerations

Clear documentation of pre-operative assessments and post-operative outcomes.

Coding Guidelines

Inclusion Criteria

Use M61.371 When
  • According to ICD
  • 10 guidelines, M61
  • 371 should be used when there is clear documentation of calcification or ossification of muscles specifically associated with burns
  • It is important to include details about the burn's severity and the specific muscles affected

Exclusion Criteria

Do NOT use M61.371 When
  • Exclusion criteria include conditions not related to burns or those that do not involve calcification

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for muscle strengthening post-burn.

Documentation Requirements

Documentation of exercises performed and patient progress.

Specialty Considerations

Physical therapy notes should detail specific exercises and patient responses.

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 M61.371, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.371, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their complications.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their complications.

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 M61.371 accurately?

Accurate coding of M61.371 is crucial for proper reimbursement, tracking patient outcomes, and ensuring that the specific complications of burns are recognized in clinical practice.