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ICD-10 Guide
ICD-10 CodesM61.30

M61.30

Billable

Calcification and ossification of muscles associated with burns, unspecified site

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

Code Description

ICD-10 M61.30 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, unspecified site.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition characterized by the abnormal deposition of calcium salts and bone-like tissue in muscle tissue following thermal injury. This process can occur as a result of the body's healing response to severe burns, where inflammation and tissue damage lead to the formation of calcified areas within the muscle. Clinically, patients may present with muscle stiffness, pain, and reduced range of motion in the affected areas. The condition can lead to significant functional impairment and may require physical therapy or surgical intervention to restore mobility. Diagnosis typically involves imaging studies such as X-rays or MRI to visualize the calcified areas, alongside a thorough clinical evaluation to assess muscle function and strength. Understanding the underlying mechanisms of this condition is crucial for effective management and rehabilitation of burn patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of burn-related complications
  • Differentiation from other muscle disorders
  • Need for precise documentation of burn severity
  • Potential for co-morbid conditions affecting muscle function

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to specify the site of calcification
  • Misclassification of muscle disorders
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Burn Surgery

Documentation Requirements

Detailed records of burn assessment, treatment plans, and follow-up evaluations.

Common Clinical Scenarios

Management of burn patients with muscle calcification post-surgery.

Billing Considerations

Documentation must clearly link muscle calcification to burn injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and rehabilitation goals.

Common Clinical Scenarios

Rehabilitation of patients with muscle stiffness and weakness due to calcification.

Billing Considerations

Focus on functional outcomes and the impact of calcification on mobility.

Coding Guidelines

Inclusion Criteria

Use M61.30 When
  • According to ICD
  • 10 guidelines, M61
  • 30 should be used when calcification and ossification of muscles are specifically linked to burn injuries
  • Coders must ensure that documentation supports the diagnosis and that the site of calcification is noted when possible

Exclusion Criteria

Do NOT use M61.30 When
  • Exclusion criteria include calcification due to other underlying conditions

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of muscle strength post-burn.

Documentation Requirements

Progress notes detailing therapy sessions and patient response.

Specialty Considerations

Physical therapy documentation must reflect the impact of calcification on treatment.

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 M61.30, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the relationship between burns and muscle complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.30, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the relationship between burns and muscle complications.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation of the relationship between burns and muscle complications.

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 calcification in muscles associated with burns?

Calcification in muscles following burns is primarily due to the body's inflammatory response to tissue damage, leading to abnormal calcium deposition as part of the healing process.