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ICD-10 Guide
ICD-10 CodesM61.041

M61.041

Billable

Myositis ossificans traumatica, right hand

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

Code Description

ICD-10 M61.041 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, right hand.

Key Diagnostic Point:

Myositis ossificans traumatica is a condition characterized by the abnormal formation of bone tissue within muscle or connective tissue following trauma. This condition typically arises after an injury, such as a fracture or severe contusion, where the muscle tissue undergoes a process of calcification and ossification. In the case of myositis ossificans traumatica affecting the right hand, the patient may experience localized pain, swelling, and reduced range of motion in the affected area. The condition can lead to muscle weakness and functional impairment, particularly in the hand's dexterity and strength. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which reveal the presence of heterotopic ossification. Treatment may involve physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue if it significantly impairs function. Understanding the underlying muscle disorders and neuromuscular conditions is crucial for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of trauma-related conditions
  • Differentiation from other types of myositis
  • Need for precise documentation of the injury mechanism
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of the traumatic event
  • Failure to specify laterality (right hand)
  • Misclassification as a different type of myositis
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed injury history, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic cases following fractures or severe contusions.

Billing Considerations

Ensure accurate laterality and specify the type of trauma.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and pain management strategies.

Common Clinical Scenarios

Rehabilitation following surgical intervention for myositis ossificans.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use M61.041 When
  • Follow official ICD
  • CM guidelines for coding myositis ossificans, ensuring accurate documentation of the cause and laterality
  • Include any relevant co
  • existing conditions that may affect treatment

Exclusion Criteria

Do NOT use M61.041 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

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

Clinical Scenario

Used when joint aspiration is performed due to swelling from myositis ossificans.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists should ensure clear documentation of joint involvement.

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 myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like myositis ossificans, improving the accuracy of patient records and facilitating better treatment planning.

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 myositis ossificans traumatica?

Myositis ossificans traumatica is a condition where bone tissue forms in muscle or connective tissue following trauma, leading to pain and functional impairment.