ICD-10-CM Billable Code

M62.01

Separation of muscle (nontraumatic), shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

The nontraumatic separation of shoulder muscle, classified under ICD-10 Code M62.01, refers to a condition where a muscle in the shoulder becomes partially or completely separated without a specific traumatic injury. This condition can affect shoulder function, cause discomfort, and impact daily activities. It often involves a tear or detachment of muscle fibers or tendons due to various underlying factors rather than obvious trauma.

Causes & Symptoms

Clinical Causes: Overuse or repetitive strain on shoulder muscles Degeneration of muscle tissue with age Muscle weakness or imbalance Chronic overexertion without adequate rest Certain metabolic or systemic conditions that affect muscle integrity Incorrect exercise techniques or sudden, intense movements Localized muscle degeneration or tendinopathy

Key Symptoms: Gradual onset of shoulder pain Weakness in the affected shoulder Limited range of motion Swelling or tenderness around the shoulder A feeling of muscle instability or giving way Discomfort that worsens with activity Possible muscle bulging or palpable separation

Diagnostic & Treatment

Diagnosis Path: Detailed medical history and symptom review Physical examination focusing on muscle strength and joint stability Imaging studies such as MRI or ultrasound to visualize muscle fibers and detect detachment or tears Assessment for other underlying shoulder injuries or conditions Differential diagnosis to distinguish from traumatic injuries or other musculoskeletal disorders

Treatment Protocols: Rest and activity modification to reduce strain on shoulder muscles Physical therapy to strengthen shoulder muscles and improve flexibility Nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation Ice therapy to decrease swelling and discomfort In some cases, corticosteroid injections for intense inflammation Surgical intervention may be considered if conservative treatments do not improve symptoms or if there is significant muscle separation requiring repair Gradual return to activity under supervision to prevent recurrence

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 M62.01 a billable ICD-10 code?
Yes, M62.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M62.01?
Clinical documentation must specify the nature of Separation of muscle (nontraumatic), shoulder and any associated comorbidities for accurate reporting.

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