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 CodesM61.162

M61.162

Billable

Myositis ossificans progressiva, left lower leg

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

Code Description

ICD-10 M61.162 is a billable code used to indicate a diagnosis of myositis ossificans progressiva, left lower leg.

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 is caused by mutations in the ACVR1 gene, leading to dysregulation of bone morphogenetic proteins (BMPs) that promote ossification. In the case of M61.162, the ossification occurs specifically in the left lower leg, which can lead to significant muscle weakness and impaired mobility. Patients may experience episodes of swelling, pain, and stiffness in the affected area, often exacerbated by trauma or surgical interventions. Over time, the progressive nature of the condition can result in the formation of heterotopic bone, severely limiting joint movement and function. Diagnosis typically involves clinical evaluation, imaging studies such as X-rays or MRI, and genetic testing to confirm the presence of ACVR1 mutations. Management focuses on symptomatic relief, physical therapy, and avoiding invasive procedures that may trigger further ossification.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rare condition with limited awareness among healthcare providers
  • Need for precise documentation of symptoms and progression
  • Potential for misdiagnosis with other myositis or muscular disorders
  • Genetic testing requirements for accurate diagnosis

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the affected limb in the documentation
  • Misclassification of the condition as a more common myopathy
  • Lack of detailed clinical notes on symptom progression

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Genetic test results, family history, and clinical findings.

Common Clinical Scenarios

Patients presenting with unexplained muscle stiffness and swelling.

Billing Considerations

Ensure genetic testing is documented to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment plans, and progress notes.

Common Clinical Scenarios

Rehabilitation needs for patients with mobility limitations due to ossification.

Billing Considerations

Document therapy interventions and patient responses to treatment.

Coding Guidelines

Inclusion Criteria

Use M61.162 When
  • Follow ICD
  • CM guidelines for coding myositis and ensure specificity in documentation
  • Include details on the affected limb and any associated conditions
  • existing

Exclusion Criteria

Do NOT use M61.162 When
  • Exclude codes for other types of myositis unless co

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits to monitor the condition.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Ensure that the visit is clearly linked to the management of MOP.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rare conditions like myositis ossificans progressiva, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rare conditions like myositis ossificans progressiva, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rare conditions like myositis ossificans progressiva, improving data accuracy and facilitating better patient management.

Resources

Clinical References

  • •
    Myositis Association

Coding & Billing References

  • •
    Myositis Association

Frequently Asked Questions

What is myositis ossificans progressiva?

Myositis ossificans progressiva is a rare genetic disorder characterized by the abnormal formation of bone in muscles and connective tissues, leading to progressive disability.