ICD 10 CM M62.1 | Description & Clinical Information

ICD 10 M62.1 describes a medical condition characterized by the nontraumatic rupture of muscles, which can occur due to various causes other than physical injury or trauma, and requires the provider to document the specific type of muscle rupture that is not represented by any other code.

Official Description Of M62.1

The ICD 10 CM book defines ICD 10 code M62.1 as:

Other rupture of muscle (nontraumatic)
Excludes1: traumatic rupture of muscle – see strain of muscle by body region
Excludes2: rupture of tendon (M66.-)
Parent Code Notes: M62

Excludes1: alcoholic myopathy (G72.1)
cramp and spasm (R25.2)
drug-induced myopathy (G72.0)
myalgia (M79.1-)
stiff-man syndrome (G25.82)

Excludes2: nontraumatic hematoma of muscle (M79.81)

When To Use M62.1

The diagnosis described by the ICD 10 CM M62.1 code is a muscle rupture, which causes pain, swelling, and bruising in the affected muscle. Additionally, muscle ruptures can lead to a limited range of motion that may impair everyday activities. Medical professionals diagnose this condition based on the patient’s medical history, physical examination, and various imaging and electrical studies.

One method of diagnosis is an electromyography (EMG), which involves placing needles in the affected muscle to measure electrical activity. Another method is the use of imaging techniques such as an ultrasound, magnetic resonance imaging (MRI), or a computed tomography (CT) scan. These imaging methods help to visualize the damage and position of the separated muscles.

Once a muscle rupture is diagnosed, there are several treatment options available based on the severity of the injury. One option is medication that can provide relief from pain and inflammation, such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs).

Another potential treatment option is bracing or splinting to immobilize and support the affected muscle. This option can help ease pain and reduce swelling while the muscles heal. Physical exercises can also be an effective treatment option, as they help improve the range of motion, flexibility, and strength of the affected muscles.

In some cases, surgery may be necessary to repair the muscle rupture. This procedure involves restoring the correct position of the separated muscle, which can help reduce pain and improve mobility.

Muscle ruptures can occur in various parts of the body, such as the arms, legs, and back, and commonly happen due to overexertion, trauma, or inadequate warm-up before exercising. It is important for medical coders to understand this diagnosis code and the related treatments to accurately code patient records and ensure proper billing practices.

Furthermore, understanding the causes of muscle ruptures and their corresponding treatments can help medical coders educate patients on prevention measures and provide them with the necessary information to facilitate a speedy and effective recovery.

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