M61.38 — Calcification and ossification of muscles associated with burns, other site
M61.38 is a billable, specific ICD-10-CM code for calcification and ossification of muscles associated with burns, other site. It is valid for submission on a claim.
Risk adjustment
M61.38 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M61.38 is named in 9 Medicare coverage policies — 3 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M61.38 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M61.38.
- Myositis›ossificans or ossifying›in›burns›specified site NEC
Related codes at this level
Codes that share M61.3. If M61.38 is not quite right, the correct code is usually one of these.
- M61.30Calcification and ossification of muscles associated with burns, unspecified site
- M61.31Calcification and ossification of muscles associated with burns, shoulder
- M61.32Calcification and ossification of muscles associated with burns, upper arm
- M61.33Calcification and ossification of muscles associated with burns, forearm
- M61.34Calcification and ossification of muscles associated with burns, hand
- M61.35Calcification and ossification of muscles associated with burns, thigh
- M61.36Calcification and ossification of muscles associated with burns, lower leg
- M61.37Calcification and ossification of muscles associated with burns, ankle and foot
- M61.39Calcification and ossification of muscles associated with burns, multiple sites
Questions about M61.38
- Is M61.38 a billable ICD-10-CM code?
- Yes. M61.38 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M61.38 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).