ICD-10-CM Billable Code

M62.411

Contracture of muscle, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Contracture of muscle in the right shoulder, classified under ICD-10 as M62.411, is a condition characterized by the abnormal shortening and tightening of muscles around the shoulder joint. This results in limited movement, pain, and a persistent deformity. It often develops as a consequence of injury, prolonged immobility, or certain medical conditions that lead to muscle stiffening. Recognizing the symptoms and understanding the potential causes are important steps toward effective management and treatment.

Causes & Symptoms

Clinical Causes: Muscle injury or trauma to the shoulder muscles Prolonged immobilization following surgery or injury Neurological conditions such as stroke or nerve injury Chronic diseases affecting muscle tissue, like polymyositis Scar tissue formation after injury or surgery Repeated muscle overstretching or improper rehabilitation

Key Symptoms: Restricted movement or inability to fully move the right shoulder Persistent shoulder pain or discomfort Tightness or stiffness in the shoulder muscles Visible deformity or muscle shortening Weakness in shoulder movements Muscle soreness or tenderness

Diagnostic & Treatment

Diagnosis Path: Diagnosis is made through a physical examination by a healthcare professional, who assesses shoulder mobility and looks for signs of muscle tightness. Imaging tests such as MRI or ultrasound may be used to evaluate muscle tissue and rule out other causes of shoulder stiffness. A detailed medical history, including any recent injuries or surgeries, helps in confirming the diagnosis of muscle contracture.

Treatment Protocols: Treatment options for muscle contracture typically focus on restoring flexibility and improving shoulder function. Approaches may include physical therapy exercises designed to stretch and strengthen shoulder muscles, manual therapy, and heat or ultrasound modalities. In some cases, more invasive procedures such as surgical release of the contracted muscle or injections may be necessary. Overall, management aims to alleviate pain, reduce muscle tightness, and improve mobility.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M62.411 a billable ICD-10 code?
Yes, M62.411 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M62.411?
Clinical documentation must specify the nature of Contracture of muscle, right shoulder and any associated comorbidities for accurate reporting.

Cite this Clinical Reference