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ICD-10 Guide
ICD-10 CodesM61.322

M61.322

Billable

Calcification and ossification of muscles associated with burns, left upper arm

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

Code Description

ICD-10 M61.322 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, left upper arm.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition that arises when muscle tissue undergoes abnormal mineralization due to injury, particularly from thermal burns. This process can lead to stiffness, pain, and reduced mobility in the affected area. In the case of the left upper arm, the muscles may become calcified or ossified as a response to the inflammatory process initiated by the burn injury. This condition can complicate recovery, as it may lead to muscle weakness and impaired function. Patients may experience myositis, which is inflammation of the muscle, contributing to further weakness and discomfort. The presence of calcification can also be indicative of underlying neuromuscular conditions that may require additional evaluation and management. Treatment often involves physical therapy, pain management, and in some cases, surgical intervention to remove calcified tissue. Accurate coding of this condition is essential for proper treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of burn-related complications
  • Involves knowledge of muscle pathology
  • Differentiation from other muscle disorders
  • Documentation of burn severity and location

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to specify the affected muscle group
  • Lack of evidence for calcification or ossification
  • Misclassification of muscle disorders

Specialty Focus

Medical Specialties

Physical Medicine and Rehabilitation

Documentation Requirements

Detailed assessment of muscle function, range of motion, and pain levels.

Common Clinical Scenarios

Patients recovering from burns with muscle stiffness and weakness.

Billing Considerations

Focus on rehabilitation goals and functional outcomes.

Orthopedic Surgery

Documentation Requirements

Surgical notes detailing the extent of calcification and any interventions performed.

Common Clinical Scenarios

Surgical intervention for severe calcification affecting mobility.

Billing Considerations

Consideration of post-operative rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use M61.322 When
  • According to ICD
  • 10 coding guidelines, this code should be used when there is clear documentation of calcification and ossification of muscles specifically associated with burn injuries
  • It is important to ensure that the documentation supports the diagnosis and includes details about the burn's location and severity

Exclusion Criteria

Do NOT use M61.322 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with M61.322 for rehabilitation of muscle function post-burn.

Documentation Requirements

Documentation of the patient's progress and specific exercises performed.

Specialty Considerations

Physical therapy notes should detail the patient's response to therapy.

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 calcification and ossification of muscles, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like calcification and ossification of muscles, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like calcification and ossification of muscles, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of outcomes and resource allocation.

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 documentation is needed to support the use of M61.322?

Documentation should include details of the burn injury, clinical findings of muscle calcification or ossification, and any treatments or interventions performed. Imaging studies that confirm the diagnosis are also beneficial.