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ICD-10 Guide
ICD-10 CodesM61.219

M61.219

Billable

Paralytic calcification and ossification of muscle, unspecified shoulder

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

Code Description

ICD-10 M61.219 is a billable code used to indicate a diagnosis of paralytic calcification and ossification of muscle, unspecified shoulder.

Key Diagnostic Point:

Paralytic calcification and ossification of muscle, particularly in the shoulder region, refers to the abnormal deposition of calcium salts in muscle tissue due to paralysis or disuse. This condition often arises in patients with neuromuscular disorders, where muscle weakness leads to reduced mobility and subsequent calcification. The calcification can result from prolonged immobility, trauma, or underlying conditions such as myositis, which is inflammation of the muscle tissue. Patients may present with pain, stiffness, and limited range of motion in the shoulder, which can significantly impact their quality of life. Diagnosis typically involves imaging studies, such as X-rays or MRI, to visualize the calcified areas. Treatment may include physical therapy, pain management, and in some cases, surgical intervention to remove the calcified tissue. Understanding the underlying causes and associated conditions is crucial for effective management and coding of this diagnosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between calcification due to paralysis versus other causes.
  • Need for comprehensive documentation of muscle weakness and associated conditions.
  • Potential overlap with other muscle disorders, complicating coding.
  • Variability in clinical presentation and severity among patients.

Audit Risk Factors

  • Insufficient documentation of the underlying cause of paralysis.
  • Lack of imaging reports to support the diagnosis.
  • Inconsistent use of terminology in clinical notes.
  • Failure to document the impact on the patient's functional status.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients with shoulder pain and limited range of motion due to calcification.

Billing Considerations

Ensure clarity in documenting the relationship between paralysis and calcification.

Neurology

Documentation Requirements

Comprehensive neurological assessments and history of neuromuscular conditions.

Common Clinical Scenarios

Patients with neuromuscular disorders presenting with muscle weakness and calcification.

Billing Considerations

Documenting the progression of the neuromuscular condition is essential.

Coding Guidelines

Inclusion Criteria

Use M61.219 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology and any associated symptoms
  • Include relevant imaging studies and treatment plans in the medical record

Exclusion Criteria

Do NOT use M61.219 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 treating shoulder pain associated with calcification.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

Orthopedic specialists should ensure clear linkage between the diagnosis and the 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 paralytic calcification, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like paralytic calcification, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 the primary cause of paralytic calcification?

Paralytic calcification is primarily caused by disuse or paralysis of the muscle, leading to abnormal calcium deposition in the muscle tissue.