1. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. THE COMPLETE DIAGNOSIS CODING SOLUTION THIRD EDITION Chapter 16 Coding Muscular Conditions 16-1

2. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Learning Outcomes 16.1 Explain the types of muscle actions. 16.2 Identify joint-related components and how they function. 16.3 Differentiate the various types of traumatic muscle injuries. 16-2

3. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Learning Outcomes (cont.) 16.4 Code accurately infective conditions of the muscles. 16.5 Identify the diseases that affect the muscles. 16.6 Report accurately external causes of muscle injuries. 16-3

4. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Key Terms Bursae Dislocation Involuntary Laterality Ligament Muscles 16-4

5. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Key Terms (cont.) Myalgia Point of insertion Point of origin Site Tendon Voluntary 16-5

6. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Introduction The human body has more than 600 muscles, ligaments, tendons, and connective tissues that make up the muscular system. Learning Outcome: 16.1 16-6

7. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Types of Muscle Actions There are two types of muscle action: voluntary and involuntary. Muscles that function under voluntary control are moved when your brain tells them to move, as a conscious decision. Learning Outcome: 16.1 16-7

8. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Types of Muscle Actions (cont.) Involuntary muscles move in response to the autonomic nervous system. In other words, you do not have conscious control over these muscles. –Cardiac muscles Learning Outcome: 16.1 16-8

9. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Types of Muscle Actions Tendons connect muscles to bone. Skeletal muscles are referred to by points: point of origin (the secure side) and the points of insertion (the movable end). Learning Outcome: 16.1 16-9

10. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Joint-Related Components Muscles throughout the Body Often, ICD-10-CM will require you to determine the specific name of the muscle affected. EXAMPLE: –S86.312A Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter. Learning Outcome: 16.2 16-10

11. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Traumatic Injury to the Muscles Traumatic injuries to muscles may be described as: –Strain –Sprain –Contusion –Tear –Myalgia –Rupture Learning Outcome: 16.3 16-11

12. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Infection and Inflammation of the Muscles Includes the following conditions: –Myositis –Tendonitis –Fibromyositis –Bursitis –Epicondylitis –Achilles tendon contracture –Torticollis –Muscle spasms Learning Outcome: 16.4 16-12

13. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Diseases of the Muscles Common diseases of the muscles include: –Myasthenia gravis, G70.00 –Duchenne’s muscular dystrophy (DMD), G71 –Rheumatoid arthritis (RA), M05 or M06 –Muscle tumors, C49, C79.89, or D21 –Congenital myopathies, G71.2 –Paralytic syndromes, G80 Learning Outcome: 16:5 16-13

14. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Reporting External Causes When a patient has been injured traumatically, you will need codes that explain: –Causes of the injury –Place of the occurrence –Activity during the occurrence –Patient’s status Learning Outcome: 16.6 16-14

15. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cause of the Injury Code When a part of the body meets with an external object that results in injury, you must explain what the external object or force was, along with code or codes for the injury. –Stepped on by cow –Falling from scaffolding Learning Outcome: 16.6 16-15

16. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Place of the Occurrence Code Code category Y92, Place of occurrence of the external cause. –Swimming pool –Single-family (private) house –Mobile home –Boarding house –Nursing home Learning Outcome: 16.6 16-16

17. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Activity Code Code category Y93, Activity codes, provides you with many codes for identifying exactly what the patient was doing when he or she became injured. Learning Outcome: 16.4 16-17

18. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Patient’s Status This is the patient’s status at the time the injury occurred. Four options are included within code category Y99, External cause status: –Civilian activity done for income or pay –Military activity –Volunteer activity –Other external cause status Learning Outcome: 16.4 16-18

19. Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Chapter Summary The entire body is wrapped from head to toe and all the way around by muscles both voluntary and involuntary. Each muscle has its specific function, and they are all susceptible to injury, inflammation, and disease. 16-19