2022 ICD-10-CM Code M61.10
Myositis ossificans progressiva, unspecified site
Code Classification
M61.10 is a billable diagnosis code used to specify a medical diagnosis of myositis ossificans progressiva, unspecified site. The code M61.10 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M61.10 might also be used to specify conditions or terms like ectopic bone tissue, congenital, polymyositis ossificans, postoperative heterotopic calcification, postoperative heterotopic ossification or progressive myositis ossificans.
Unspecified diagnosis codes like M61.10 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Entries in the Index to Diseases and Injuries with references to M61.10
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M61.10 are found in the index:
- - Myositis - M60.9
- - ossificans or ossifying (circumscripta) - See Also: Ossification, muscle, specified NEC;
- - progressiva - M61.10
- - ossificans or ossifying (circumscripta) - See Also: Ossification, muscle, specified NEC;
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Ectopic bone tissue, congenital
- Polymyositis ossificans
- Postoperative heterotopic calcification
- Postoperative heterotopic ossification
- Progressive myositis ossificans
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code M61.10 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | 08 | 1.3939 |
558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 08 | 0.8583 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert M61.10 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M61.10 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 728.11 - Prog myositis ossificans (Approximate Flag)
Information for Patients
Bone Diseases
Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone. To have strong bones when you are young, and to prevent bone loss when you are older, you need to get enough calcium, vitamin D, and exercise. You should also avoid smoking and drinking too much alcohol.
Bone diseases can make bones easy to break. Different kinds of bone problems include
- Low bone density and osteoporosis, which make your bones weak and more likely to break
- Osteogenesis imperfecta makes your bones brittle
- Paget's disease of bone makes them weak
- Bones can also develop cancer and infections
- Other bone diseases, which are caused by poor nutrition, genetics, or problems with the rate of bone growth or rebuilding
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Genetic Disorders
Genes are the building blocks of heredity. They are passed from parent to child. They hold DNA, the instructions for making proteins. Proteins do most of the work in cells. They move molecules from one place to another, build structures, break down toxins, and do many other maintenance jobs.
Sometimes there is a mutation, a change in a gene or genes. The mutation changes the gene's instructions for making a protein, so the protein does not work properly or is missing entirely. This can cause a medical condition called a genetic disorder.
You can inherit a gene mutation from one or both parents. A mutation can also happen during your lifetime.
There are three types of genetic disorders:
- Single-gene disorders, where a mutation affects one gene. Sickle cell anemia is an example.
- Chromosomal disorders, where chromosomes (or parts of chromosomes) are missing or changed. Chromosomes are the structures that hold our genes. Down syndrome is a chromosomal disorder.
- Complex disorders, where there are mutations in two or more genes. Often your lifestyle and environment also play a role. Colon cancer is an example.
Genetic tests on blood and other tissue can identify genetic disorders.
NIH: National Library of Medicine
[Learn More in MedlinePlus]
Muscle Disorders
Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.
Causes of muscle disorders include
- Injury or overuse, such as sprains or strains, cramps or tendinitis
- A genetic disorder, such as muscular dystrophy
- Some cancers
- Inflammation, such as myositis
- Diseases of nerves that affect muscles
- Infections
- Certain medicines
Sometimes the cause of muscle disorders is unknown.
[Learn More in MedlinePlus]
Fibrodysplasia ossificans progressiva
Fibrodysplasia ossificans progressiva is a disorder in which muscle tissue and connective tissue such as tendons and ligaments are gradually replaced by bone (ossified), forming bone outside the skeleton (extra-skeletal or heterotopic bone) that constrains movement. This process generally becomes noticeable in early childhood, starting with the neck and shoulders and proceeding down the body and into the limbs.
Extra-skeletal bone formation causes progressive loss of mobility as the joints become affected. Inability to fully open the mouth may cause difficulty in speaking and eating. Over time, people with this disorder may experience malnutrition due to their eating problems. They may also have breathing difficulties as a result of extra bone formation around the rib cage that restricts expansion of the lungs.
Any trauma to the muscles of an individual with fibrodysplasia ossificans progressiva, such as a fall or invasive medical procedures, may trigger episodes of muscle swelling and inflammation (myositis) followed by more rapid ossification in the injured area. Flare-ups may also be caused by viral illnesses such as influenza.
People with fibrodysplasia ossificans progressiva are generally born with malformed big toes. This abnormality of the big toes is a characteristic feature that helps to distinguish this disorder from other bone and muscle problems. Affected individuals may also have short thumbs and other skeletal abnormalities.
[Learn More in MedlinePlus]
Progressive osseous heteroplasia
Progressive osseous heteroplasia is a disorder in which bone forms within skin and muscle tissue. Bone that forms outside the skeleton is called heterotopic or ectopic bone. In progressive osseous heteroplasia, ectopic bone formation begins in the deep layers of the skin (dermis and subcutaneous fat) and gradually moves into other tissues such as skeletal muscle and tendons. The bony lesions within the skin may be painful and may develop into open sores (ulcers). Over time, joints can become involved, resulting in impaired mobility.
Signs and symptoms of progressive osseous heteroplasia usually become noticeable during infancy. In some affected individuals, however, the disorder may not become evident until later in childhood or in early adulthood.
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
M61 | Calcification and ossification of muscle | NON-BILLABLE CODE |
M61.0 | Myositis ossificans traumatica | NON-BILLABLE CODE |
M61.00 | Myositis ossificans traumatica, unspecified site | BILLABLE CODE |
M61.01 | Myositis ossificans traumatica, shoulder | NON-BILLABLE CODE |
M61.011 | Myositis ossificans traumatica, right shoulder | BILLABLE CODE |
M61.012 | Myositis ossificans traumatica, left shoulder | BILLABLE CODE |
M61.019 | Myositis ossificans traumatica, unspecified shoulder | BILLABLE CODE |
M61.02 | Myositis ossificans traumatica, upper arm | NON-BILLABLE CODE |
M61.021 | Myositis ossificans traumatica, right upper arm | BILLABLE CODE |
M61.022 | Myositis ossificans traumatica, left upper arm | BILLABLE CODE |
M61.029 | Myositis ossificans traumatica, unspecified upper arm | BILLABLE CODE |
M61.03 | Myositis ossificans traumatica, forearm | NON-BILLABLE CODE |
M61.031 | Myositis ossificans traumatica, right forearm | BILLABLE CODE |
M61.032 | Myositis ossificans traumatica, left forearm | BILLABLE CODE |
M61.039 | Myositis ossificans traumatica, unspecified forearm | BILLABLE CODE |
M61.04 | Myositis ossificans traumatica, hand | NON-BILLABLE CODE |
M61.041 | Myositis ossificans traumatica, right hand | BILLABLE CODE |
M61.042 | Myositis ossificans traumatica, left hand | BILLABLE CODE |
M61.049 | Myositis ossificans traumatica, unspecified hand | BILLABLE CODE |
M61.05 | Myositis ossificans traumatica, thigh | NON-BILLABLE CODE |
M61.051 | Myositis ossificans traumatica, right thigh | BILLABLE CODE |
M61.052 | Myositis ossificans traumatica, left thigh | BILLABLE CODE |
M61.059 | Myositis ossificans traumatica, unspecified thigh | BILLABLE CODE |
M61.06 | Myositis ossificans traumatica, lower leg | NON-BILLABLE CODE |
M61.061 | Myositis ossificans traumatica, right lower leg | BILLABLE CODE |
M61.062 | Myositis ossificans traumatica, left lower leg | BILLABLE CODE |
M61.069 | Myositis ossificans traumatica, unspecified lower leg | BILLABLE CODE |
M61.07 | Myositis ossificans traumatica, ankle and foot | NON-BILLABLE CODE |
M61.071 | Myositis ossificans traumatica, right ankle and foot | BILLABLE CODE |
M61.072 | Myositis ossificans traumatica, left ankle and foot | BILLABLE CODE |
M61.079 | Myositis ossificans traumatica, unspecified ankle and foot | BILLABLE CODE |
M61.08 | Myositis ossificans traumatica, other site | BILLABLE CODE |
M61.09 | Myositis ossificans traumatica, multiple sites | BILLABLE CODE |
M61.1 | Myositis ossificans progressiva | NON-BILLABLE CODE |
M61.11 | Myositis ossificans progressiva, shoulder | NON-BILLABLE CODE |
M61.111 | Myositis ossificans progressiva, right shoulder | BILLABLE CODE |
M61.112 | Myositis ossificans progressiva, left shoulder | BILLABLE CODE |
M61.119 | Myositis ossificans progressiva, unspecified shoulder | BILLABLE CODE |
M61.12 | Myositis ossificans progressiva, upper arm | NON-BILLABLE CODE |
M61.121 | Myositis ossificans progressiva, right upper arm | BILLABLE CODE |
M61.122 | Myositis ossificans progressiva, left upper arm | BILLABLE CODE |
M61.129 | Myositis ossificans progressiva, unspecified arm | BILLABLE CODE |
M61.13 | Myositis ossificans progressiva, forearm | NON-BILLABLE CODE |
M61.131 | Myositis ossificans progressiva, right forearm | BILLABLE CODE |
M61.132 | Myositis ossificans progressiva, left forearm | BILLABLE CODE |
M61.139 | Myositis ossificans progressiva, unspecified forearm | BILLABLE CODE |
M61.14 | Myositis ossificans progressiva, hand and finger(s) | NON-BILLABLE CODE |
M61.141 | Myositis ossificans progressiva, right hand | BILLABLE CODE |
M61.142 | Myositis ossificans progressiva, left hand | BILLABLE CODE |
M61.143 | Myositis ossificans progressiva, unspecified hand | BILLABLE CODE |
M61.144 | Myositis ossificans progressiva, right finger(s) | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)