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 CodesM61.48

M61.48

Billable

Other calcification of muscle, other site

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

Code Description

ICD-10 M61.48 is a billable code used to indicate a diagnosis of other calcification of muscle, other site.

Key Diagnostic Point:

M61.48 refers to the condition characterized by abnormal calcification in muscle tissue at sites not specified elsewhere. This condition can arise from various underlying causes, including metabolic disorders, trauma, or chronic inflammation. Calcification in muscle can lead to stiffness, pain, and functional impairment, often complicating the clinical picture of muscle disorders such as myositis or muscular dystrophies. Patients may present with muscle weakness, tenderness, and reduced range of motion, which can significantly impact their quality of life. The diagnosis typically involves imaging studies, such as X-rays or MRI, to visualize the calcified areas, alongside a thorough clinical evaluation to determine the underlying etiology. Treatment may vary based on the cause and severity of symptoms, ranging from physical therapy to surgical intervention in severe cases. Understanding the nuances of this condition is crucial for accurate coding and effective management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to calcification
  • Differentiation from other muscle disorders
  • Need for precise documentation of site and extent of calcification
  • Potential overlap with other ICD-10 codes

Audit Risk Factors

  • Insufficient documentation of the calcification site
  • Lack of clarity on the underlying cause of calcification
  • Inconsistent coding practices among providers
  • Failure to document associated symptoms or conditions

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed history of symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with myositis or unexplained muscle pain and weakness.

Billing Considerations

Ensure documentation reflects the relationship between calcification and underlying rheumatologic conditions.

Orthopedics

Documentation Requirements

Surgical notes, imaging studies, and post-operative assessments.

Common Clinical Scenarios

Patients with calcification following trauma or surgery.

Billing Considerations

Document the impact of calcification on mobility and function, especially in post-operative cases.

Coding Guidelines

Inclusion Criteria

Use M61.48 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the site of calcification and any associated conditions

Exclusion Criteria

Do NOT use M61.48 When
  • Exclude conditions that are specifically listed under other codes to avoid misclassification

Related ICD-10 Codes

Related CPT Codes

73030CPT Code

Radiologic examination, shoulder

Clinical Scenario

Used when imaging is performed to assess calcification in the shoulder region.

Documentation Requirements

Include imaging results and clinical rationale for the study.

Specialty Considerations

Orthopedic specialists should document the impact of findings on treatment plans.

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 diagnoses and treatment plans. M61.48 provides a distinct code for calcification at unspecified sites, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscle calcification, improving the accuracy of diagnoses and treatment plans. M61.48 provides a distinct code for calcification at unspecified sites, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of muscle calcification, improving the accuracy of diagnoses and treatment plans. M61.48 provides a distinct code for calcification at unspecified sites, which was less clearly defined in ICD-9.

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 metabolic disorders, chronic inflammation, trauma, and certain medications. Each case should be evaluated individually to determine the underlying cause.