M62.269 Nontraumatic ischemic infarction of muscle, unspecified lower leg

ICD10CM code

#### Name of the Condition
- Nontraumatic Ischemic Infarction of Muscle, Unspecified Lower Leg (ICD-10-CM Code: M62.269)

#### Summary
Nontraumatic ischemic infarction of muscle is a condition where a lack of blood flow causes tissue death in the muscles of the lower leg, not due to an injury. This can lead to pain and loss of function in the affected area.

#### Causes
The condition typically results from reduced blood supply to the muscle tissue, which can be linked to other vascular diseases. Causes may include obstruction of arteries, compression of vessels, or systemic conditions like diabetes that affect blood flow.

#### Risk Factors
- Peripheral artery disease
- Diabetes mellitus
- Advanced age
- High cholesterol or blood pressure
- Smoking
- Sedentary lifestyle

#### Symptoms
- Sudden or gradual onset of pain in the lower leg
- Swelling or tenderness in the affected area
- Muscle weakness or reduced mobility
- Discoloration or temperature change of the skin overlying the muscle

#### Diagnosis
- Physical examination to assess muscle strength and tenderness
- Imaging tests such as MRI or Doppler ultrasound to visualize blood flow
- Blood tests to rule out infections or other underlying conditions

#### Treatment Options
- Medications to improve blood flow, such as anticoagulants or vasodilators
- Physical therapy to regain strength and function
- In severe cases, surgical interventions like revascularization or bypass surgery

#### Prognosis and Follow-Up
- With timely treatment, many patients experience significant improvements.
- Long-term follow-up is essential to monitor vascular health and prevent recurrence.

#### Complications
- Chronic pain or permanent muscle weakness
- Risk of tissue necrosis or ulceration if left untreated
- Possible expansion to other muscle groups

#### Lifestyle & Prevention
- Regular exercise to improve circulation
- A balanced diet low in saturated fats and sugars
- Quit smoking and manage blood sugar levels if diabetic
- Regular check-ups to monitor blood pressure and cholesterol

#### When to Seek Professional Help
- Persistent or severe leg pain that doesn't improve
- Noticeable swelling, discoloration, or warmth in the leg
- Any sudden changes in sensation or mobility

#### Additional Resources
- American Heart Association ([www.heart.org](https://www.heart.org))
- Vascular Disease Foundation ([www.vdf.org](https://www.vdf.org))

#### Tips for Medical Coders
- Ensure documentation specifies the condition's nontraumatic nature to differentiate from traumatic muscle infarction.
- Avoid coding errors by verifying the muscle group involved and ruling out other injuries or conditions.

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