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ICD-10 Guide
ICD-10 CodesM61.362

M61.362

Billable

Calcification and ossification of muscles associated with burns, left lower leg

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

Code Description

ICD-10 M61.362 is a billable code used to indicate a diagnosis of calcification and ossification of muscles associated with burns, left lower leg.

Key Diagnostic Point:

Calcification and ossification of muscles associated with burns is a condition that arises when muscle tissue undergoes pathological changes due to thermal injury. In the case of burns, the affected muscle may experience necrosis and subsequent calcification or ossification as part of the healing process. This can lead to stiffness, reduced range of motion, and muscle weakness in the affected area. The left lower leg is particularly susceptible due to its anatomical structure and the potential for severe burns in this region. Clinically, patients may present with pain, swelling, and functional impairment, necessitating a multidisciplinary approach for management, including physical therapy and possibly surgical intervention. The condition can also be associated with myositis, where inflammation of the muscle tissue occurs, further complicating recovery. Accurate diagnosis and coding are essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Failure to specify the affected muscle group
  • Lack of evidence for associated conditions like myositis
  • Improper linkage between diagnosis and treatment

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 burn injuries with muscle stiffness and weakness.

Billing Considerations

Emphasis on functional outcomes and rehabilitation goals.

Plastic Surgery

Documentation Requirements

Comprehensive documentation of burn depth, area, and surgical interventions performed.

Common Clinical Scenarios

Surgical reconstruction following severe burns affecting muscle tissue.

Billing Considerations

Coordination with rehabilitation specialists for optimal recovery.

Coding Guidelines

Inclusion Criteria

Use M61.362 When
  • Follow ICD
  • CM guidelines for coding burns and associated complications
  • Ensure accurate documentation of the burn's location, depth, and any associated muscle conditions
  • Include any relevant co
  • morbidities that may affect treatment

Exclusion Criteria

Do NOT use M61.362 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 injury.

Documentation Requirements

Document the type and duration of exercises performed.

Specialty Considerations

Physical therapy documentation must reflect progress and functional outcomes.

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 M61.362, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation from providers to support the specificity of the codes used.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M61.362, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation from providers to support the specificity of the codes used.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like M61.362, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation from providers to support the specificity of the codes used.

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 significance of specifying the left lower leg in M61.362?

Specifying the left lower leg is crucial for accurate coding and treatment planning, as it affects rehabilitation strategies and potential surgical interventions.