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ICD-10 Guide
ICD-10 CodesM61.34

M61.34

Billable

Calcification and ossification of muscles associated with burns, hand

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

Code Description

ICD-10 M61.34 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, hand.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns, particularly in the hand, is a condition that arises as a complication of severe thermal injuries. This condition is characterized by the abnormal deposition of calcium salts in muscle tissue, leading to stiffness, pain, and reduced mobility. The process can occur due to the inflammatory response triggered by burns, which may lead to myositis, a condition where muscle fibers become inflamed. This inflammation can result in muscle weakness and dysfunction, significantly impacting the patient's ability to perform daily activities. The calcification process can also lead to the formation of ossified tissue, which is bone-like in nature, further complicating recovery. Patients may experience symptoms such as localized pain, swelling, and decreased range of motion in the affected area. 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 appropriate treatment planning and reimbursement.

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-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to specify the location of calcification
  • Misclassification of muscle disorders
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Burn Care

Documentation Requirements

Detailed documentation of burn depth, size, and location, as well as any complications.

Common Clinical Scenarios

Patients with severe burns requiring rehabilitation and monitoring for complications such as calcification.

Billing Considerations

Consideration of the patient's overall recovery process and potential for long-term complications.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of muscle function, range of motion, and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing therapy for muscle weakness and stiffness post-burn.

Billing Considerations

Focus on functional outcomes and the impact of calcification on rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use M61.34 When
  • According to ICD
  • 10 coding guidelines, M61
  • 34 should be used when there is clear documentation of calcification or ossification of muscles specifically associated with burn injuries
  • It is essential to include details about the burn's severity and the affected muscle group

Exclusion Criteria

Do NOT use M61.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of muscle strength post-burn.

Documentation Requirements

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

Specialty Considerations

Physical therapy notes should detail the impact of calcification on 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 M61.34, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.34, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their complications.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in tracking outcomes related to burn injuries and their 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 documentation is required for M61.34?

Documentation must include details of the burn injury, the location and severity of calcification, and any treatments provided. It should also reflect the patient's functional status and any rehabilitation efforts.