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ICD-10 Guide
ICD-10 CodesM61.072

M61.072

Billable

Myositis ossificans traumatica, left ankle and foot

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

Code Description

ICD-10 M61.072 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, left ankle and foot.

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 occurs after a significant injury, such as a fracture or severe contusion, leading to inflammation and subsequent ossification in the affected area. In the case of M61.072, the condition specifically affects the left ankle and foot. Patients may present with localized pain, swelling, and reduced range of motion in the affected limb. The ossification process can lead to muscle weakness and functional impairment, as the normal muscle tissue is replaced by bone. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which reveal the presence of calcified tissue. 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 associated with myositis ossificans is crucial for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific muscle disorders and their implications.
  • Differentiation from other types of myositis and ossification disorders.
  • Documentation must specify the location and nature of the trauma.
  • Potential for co-morbid conditions affecting muscle function.

Audit Risk Factors

  • Inadequate documentation of the traumatic event leading to myositis ossificans.
  • Failure to specify the affected side (left vs. right).
  • Lack of imaging studies to support the diagnosis.
  • Misclassification with other types of myositis or ossification disorders.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of trauma, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic cases following sports injuries or falls.

Billing Considerations

Ensure clear documentation of the mechanism of injury and any surgical interventions.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and patient-reported outcomes.

Common Clinical Scenarios

Rehabilitation following surgery for myositis ossificans.

Billing Considerations

Document the impact on daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use M61.072 When
  • According to ICD
  • 10 guidelines, M61
  • 072 should be used when there is clear documentation of myositis ossificans resulting from trauma specifically affecting the left ankle and foot
  • It is important to include details about the nature of the trauma and any associated muscle weakness

Exclusion Criteria

Do NOT use M61.072 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 needed due to swelling from myositis ossificans.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists may perform this procedure.

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 data collection and reimbursement processes. M61.072 provides specificity that was not available in ICD-9, enhancing clinical understanding and management.

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 data collection and reimbursement processes. M61.072 provides specificity that was not available in ICD-9, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. M61.072 provides specificity that was not available in ICD-9, enhancing clinical understanding and management.

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.

How is myositis ossificans diagnosed?

Diagnosis is typically made through clinical evaluation and imaging studies, such as X-rays or MRI, which reveal calcified lesions in the affected area.

What are the treatment options for myositis ossificans?

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