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 CodesM61.159

M61.159

Billable

Myositis ossificans progressiva, unspecified thigh

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

Code Description

ICD-10 M61.159 is a billable code used to indicate a diagnosis of myositis ossificans progressiva, unspecified thigh.

Key Diagnostic Point:

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 in early childhood and is caused by mutations in the ACVR1 gene, which plays a crucial role in bone development and repair. In the case of unspecified thigh involvement, patients may experience progressive muscle weakness, stiffness, and pain in the thigh region due to the ossification process. The condition can lead to significant functional impairment, as the formation of bone in soft tissues restricts movement and can result in joint deformities. Diagnosis is often made through clinical evaluation, imaging studies such as X-rays or MRI, and genetic testing. Management focuses on symptomatic relief, physical therapy, and avoiding trauma to the affected areas, as injuries can exacerbate ossification. Understanding the complexities of myositis ossificans progressiva is essential for accurate coding and appropriate patient care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rare condition with limited awareness among healthcare providers
  • Need for precise documentation of muscle involvement and symptoms
  • Potential for misdiagnosis with other muscle disorders
  • Genetic testing requirements for definitive diagnosis

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to include genetic testing results
  • Misclassification of the condition as a more common muscle disorder
  • Lack of specificity in describing muscle weakness or pain

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed clinical notes on muscle strength, joint involvement, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with unexplained muscle pain and stiffness, particularly after trauma.

Billing Considerations

Rheumatologists should be aware of the genetic basis of the condition and the importance of multidisciplinary management.

Genetics

Documentation Requirements

Genetic testing results, family history, and detailed patient history.

Common Clinical Scenarios

Patients with a family history of myositis ossificans or unexplained ossification.

Billing Considerations

Geneticists must ensure that the diagnosis is confirmed through appropriate testing to avoid misdiagnosis.

Coding Guidelines

Inclusion Criteria

Use M61.159 When
  • According to ICD
  • 10 coding guidelines, M61
  • 159 should be used when there is clear documentation of myositis ossificans progressiva affecting the thigh, with no other specified site
  • Coders should ensure that the diagnosis is supported by clinical findings and imaging

Exclusion Criteria

Do NOT use M61.159 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 effusion is present due to myositis ossificans.

Documentation Requirements

Document the reason for the procedure and any imaging findings.

Specialty Considerations

Rheumatologists 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 greater specificity in coding myositis ossificans progressiva, enabling better tracking of this rare condition and its management. The detailed codes help in understanding the prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding myositis ossificans progressiva, enabling better tracking of this rare condition and its management. The detailed codes help in understanding the prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding myositis ossificans progressiva, enabling better tracking of this rare condition and its management. The detailed codes help in understanding the prevalence and treatment outcomes.

Resources

Clinical References

  • •
    Myositis Ossificans Progressiva Foundation

Coding & Billing References

  • •
    Myositis Ossificans Progressiva Foundation

Frequently Asked Questions

What are the common symptoms of myositis ossificans progressiva?

Common symptoms include progressive muscle stiffness, pain, and weakness, particularly in the affected areas. Patients may also experience limited range of motion and joint deformities.