ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM61.412

M61.412

Billable

Other calcification of muscle, left shoulder

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

Code Description

ICD-10 M61.412 is a billable code used to indicate a diagnosis of other calcification of muscle, left shoulder.

Key Diagnostic Point:

Calcification of muscle tissue, particularly in the left shoulder, can occur due to various underlying conditions, including trauma, inflammation, or metabolic disorders. This condition is characterized by the deposition of calcium salts in muscle tissue, leading to stiffness, pain, and potential functional impairment. Patients may present with localized muscle weakness, discomfort during movement, and reduced range of motion in the affected shoulder. The calcification can be identified through imaging studies such as X-rays or MRI, which reveal abnormal calcific deposits. Myositis, or inflammation of the muscle, can also be a contributing factor, often resulting from autoimmune conditions or infections. The presence of calcification may complicate the clinical picture, as it can mimic other neuromuscular disorders. Accurate diagnosis and management are crucial, as untreated calcification can lead to chronic pain and disability. Treatment options may include physical therapy, corticosteroid injections, or surgical intervention in severe cases. Understanding the etiology and implications of muscle calcification is essential for effective patient management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of muscle calcification
  • Understanding associated conditions like myositis
  • Need for precise documentation of symptoms and imaging results
  • Potential overlap with other musculoskeletal codes

Audit Risk Factors

  • Inadequate documentation of symptoms and imaging findings
  • Misclassification of calcification type
  • Failure to document associated conditions like myositis
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and progress notes.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity in the documentation of the location and extent of calcification.

Rheumatology

Documentation Requirements

Comprehensive history of autoimmune conditions, lab results, and treatment responses.

Common Clinical Scenarios

Patients with myositis presenting with calcification in the shoulder region.

Billing Considerations

Document any autoimmune markers and their relevance to muscle calcification.

Coding Guidelines

Inclusion Criteria

Use M61.412 When
  • According to ICD
  • 10 guidelines, M61
  • 412 should be used when there is clear documentation of calcification in the left shoulder muscle
  • It is important to ensure that the condition is not due to trauma or other specified causes that may require different coding

Exclusion Criteria

Do NOT use M61.412 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 injecting corticosteroids into the shoulder joint for pain relief.

Documentation Requirements

Document the indication for the procedure and the patient's response.

Specialty Considerations

Orthopedic specialists should ensure that the diagnosis supports the need for 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 muscle calcification, improving the accuracy of data collection and reimbursement processes. M61.412 provides a clear distinction for left shoulder calcification, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscle calcification, improving the accuracy of data collection and reimbursement processes. M61.412 provides a clear distinction for left shoulder calcification, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. M61.412 provides a clear distinction for left shoulder calcification, which aids in clinical management and research.

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 are the common causes of muscle calcification?

Common causes include trauma, chronic inflammation, metabolic disorders, and certain autoimmune conditions. Each case should be evaluated individually to determine the underlying cause.