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ICD-10 Guide
ICD-10 CodesM61.372

M61.372

Billable

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

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

Code Description

ICD-10 M61.372 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, left ankle and foot.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition that arises following thermal injuries, particularly in the context of severe burns affecting the left ankle and foot. This condition is characterized by the abnormal deposition of calcium salts in muscle tissue, leading to stiffness, reduced mobility, and potential muscle weakness. The pathophysiology involves a complex interplay of inflammatory processes and tissue repair mechanisms that can result in ectopic calcification. Patients may experience pain and functional impairment due to the rigidity of the affected muscles. The condition is often diagnosed through clinical evaluation and imaging studies, which can reveal calcified areas within the muscle. Treatment typically focuses on managing symptoms, improving mobility, and may include physical therapy, medications, or surgical intervention in severe cases. Understanding the implications of muscle calcification is crucial for rehabilitation and recovery, particularly in burn patients who may already be facing significant challenges due to their injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of burn-related complications
  • Involves understanding of muscle pathology
  • Differentiation from other muscle disorders
  • Documentation of burn severity and location

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to specify the affected muscle group
  • Misclassification of muscle disorders
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Physical Medicine and Rehabilitation

Documentation Requirements

Detailed documentation of functional limitations, treatment plans, and progress notes.

Common Clinical Scenarios

Patients recovering from severe burns with muscle stiffness and weakness.

Billing Considerations

Focus on rehabilitation goals and the impact of calcification on mobility.

Orthopedic Surgery

Documentation Requirements

Surgical notes, imaging results, and post-operative assessments.

Common Clinical Scenarios

Surgical intervention for severe calcification affecting mobility.

Billing Considerations

Consideration of surgical options and potential complications.

Coding Guidelines

Inclusion Criteria

Use M61.372 When
  • According to ICD
  • 10 coding guidelines, M61
  • 372 should be used when there is clear documentation of calcification and ossification of muscles specifically associated with burns
  • It is important to ensure that the left ankle and foot are explicitly mentioned in the documentation

Exclusion Criteria

Do NOT use M61.372 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for muscle stiffness due to calcification.

Documentation Requirements

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

Specialty Considerations

Physical therapy notes should detail the specific exercises and progress.

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 M61.372, improving the accuracy of data collection and reimbursement processes. This specificity helps in better tracking of burn-related complications and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.372, improving the accuracy of data collection and reimbursement processes. This specificity helps in better tracking of burn-related complications and outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in better tracking of burn-related complications and 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 the primary cause of calcification in muscles associated with burns?

Calcification in muscles associated with burns is primarily due to the body's inflammatory response and healing processes following thermal injuries, leading to abnormal calcium deposition.