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 CodesM61.51

M61.51

Billable

Other ossification of muscle, shoulder

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

Code Description

ICD-10 M61.51 is a billable code used to indicate a diagnosis of other ossification of muscle, shoulder.

Key Diagnostic Point:

M61.51 refers to a condition characterized by abnormal bone formation within the muscle tissue of the shoulder region. This ossification can occur due to various factors, including trauma, prolonged immobilization, or certain neuromuscular disorders. Patients may present with symptoms such as pain, swelling, and restricted range of motion in the shoulder. The condition can lead to significant functional impairment and may be associated with other muscle disorders, such as myositis or muscle weakness. Diagnosis typically involves imaging studies, such as X-rays or MRI, to visualize the ossified areas and differentiate them from other potential causes of shoulder pain. Treatment options may include physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue. Understanding the underlying causes and associated conditions is crucial for effective management and coding of this diagnosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other muscle disorders
  • Need for precise documentation of symptoms and imaging results
  • Potential overlap with other codes related to muscle ossification
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to include imaging results in the medical record
  • Misinterpretation of symptoms leading to incorrect coding
  • Lack of clarity on the underlying cause of ossification

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on physical examination findings, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with shoulder pain and limited range of motion, often following trauma or surgery.

Billing Considerations

Ensure that the documentation clearly states the location and nature of ossification to support the use of M61.51.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients requiring rehabilitation post-surgery for ossification removal or those with chronic pain due to muscle ossification.

Billing Considerations

Focus on documenting the impact of the condition on daily activities and the effectiveness of rehabilitation interventions.

Coding Guidelines

Inclusion Criteria

Use M61.51 When
  • According to ICD
  • 10 coding guidelines, M61
  • 51 should be used when there is clear documentation of ossification in the shoulder muscle
  • It is important to include any relevant history, such as trauma or underlying neuromuscular conditions, to support the diagnosis

Exclusion Criteria

Do NOT use M61.51 When
  • Exclusion criteria include conditions that do not involve ossification

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when a patient with M61.51 requires aspiration of fluid due to inflammation.

Documentation Requirements

Document the reason for the procedure, findings, and any imaging results.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is justified based on clinical findings.

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 M61.51, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.51, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

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 are the common symptoms associated with M61.51?

Common symptoms include shoulder pain, swelling, and limited range of motion, often accompanied by muscle weakness.

How is M61.51 diagnosed?

Diagnosis typically involves a combination of clinical evaluation and imaging studies such as X-rays or MRI to confirm the presence of ossification.

What treatment options are available for M61.51?

Treatment may include physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue.