Myositis ossificans progressiva, shoulder
ICD-10 M61.11 is a billable code used to indicate a diagnosis of myositis ossificans progressiva, shoulder.
Myositis ossificans progressiva (MOP) is a rare genetic disorder characterized by the abnormal formation of bone in muscles, tendons, and other connective tissues. This condition typically presents with progressive muscle weakness and stiffness, particularly affecting the shoulder region. Patients may experience painful swelling and limited range of motion due to the ossification process, which can lead to significant functional impairment. The onset of symptoms often occurs in childhood or early adulthood, and the condition is associated with mutations in the ACVR1 gene, which plays a crucial role in bone and muscle development. Diagnosis is primarily clinical, supported by imaging studies that reveal heterotopic ossification. Management focuses on symptomatic relief and physical therapy, as surgical intervention is often complicated by the risk of further ossification. Understanding the nuances of myositis ossificans progressiva is essential for accurate coding and appropriate patient management.
Detailed history of symptoms, physical examination findings, and imaging results.
Patients presenting with unexplained muscle pain and stiffness, particularly in the shoulder.
Documentation should include family history and any genetic testing performed.
Genetic testing results, family pedigree, and clinical evaluation.
Patients with a family history of myositis ossificans or unexplained ossification.
Ensure that genetic counseling notes are included in the medical record.
Used when a patient with MOP requires aspiration of a swollen shoulder joint.
Document the reason for the procedure and any findings during the aspiration.
Rheumatology may require additional details on joint function and pain levels.
Common symptoms include progressive muscle stiffness, pain, swelling, and limited range of motion, particularly in the affected areas.
