Periarticular calcification foot. . 8 Acromegaly. Fortunately the differential diagnosis for this finding is not too difficult. linkedin. We would like to show you a description here but the site won’t allow us. 00, M61. We present the case of a 43-year-old woman who developed acute pain and swelling of the right second toe after a 4-mile run. 472 Other calcification of muscle, left ankle and foot M61. 3 Periarticular soft tissue calcification or ossification Feb 18, 2024 · Acute calcific periarthritis is an acutely painful monoarticular condition characterised by the juxta-articular deposition of calcium hydroxyapatite crystals and local inflammation. He had contractures of both elbows and pain with movement in all directions, as well as decreased range of motion in his ankles without effusion. I know the code for foreign body is 28192, but what is the code for the excision? ICD 10 code for Other calcification of muscle, right lower leg. Subcutaneous and periarticular calcifications in the foot of a patient with scleroderma. The key to the diagnosis is the characteristic appearance of arteries, which should prompt genetic testing. 2 Patients often present with acute pain related to involved joints, with no history of prior injury. Widening of the joint spaces and calcification of the proximal interphalangeal joint cartilage of the index finger (arrow). Patients present with a sudden onset of pain, localised swelling, erythema, tenderness and restricted range of motion. Globular calcifications are also seen in the ulnocarpal periarticular area (arrow) and soft tissue (arrowhead) of the distal radial level. The goal of this article is to help radiologists to make the correct diagnosis when faced with an extraosseous musculoskeletal calcification. 479 Other calcification of muscle, unspecified ankle and foot M61. It most commonly affects patients between 30 and 60, and the main location is the shoulder (rotator cuff tendons), followed by the hip. It may progress to ossification, in which case a cortical and trab Calcification Punctate calcifications of joint capsules and pericapsular calcifications are common after intra-articular and periarticular injections. As the name suggests, mineral deposition is Mar 1, 1996 · The diagnosis of ACP is based on the finding of inflammation around a joint along with radiographic evidence of periarticular soft tissue calcifications. It is characterized by the periarticular deposition of CPP crystals, typically occurring in the triangular fibrocartilage (TFCC) and hyaline cartilage and most commonly affecting the knees, wrists The purpose of this article is to review calcified or ossified benign soft tissue lesions that may simulate malignancy. Epidemiology Affects both males and females over a wide age ra Musculoskeletal calcifications are frequent on radiographs and sometimes problematic. A, irregular, wavy pe the absence of a tubular calcifications lid periostitis along the dista M61 is a non-billable diagnosis code for calcification and ossification of muscle, use codes with a higher level of specificity: M61. Calcifications are frequently identified by radiologists in daily practice. 01, M61. Feb 11, 2022 · In some instances, calcifications may remain visible for months. (b) Dual-energy CT analysis does not show uric acid deposit (red arrow). It most commonly Acute calcific tendinitis is a form of acute inflammation of the tendon, causing severe pain, swelling, and limited joint motion, and is characterized by radiologic evidence of periarticular calcification. Although the disease is frequent, factors associated with the appearance of the We would like to show you a description here but the site won’t allow us. 442. Symptoms reduce in severity within 4–7 days and self resolve in 3–4 weeks. 47 ICD-10 code M61. ankle, foot by Mohamed Saber Hydroxyapatite deposition disease by Dalia Ibrahim Soft tissue calcification and ossification by Dinesh P Unlisted playlists Sep 2, 2024 · Periarticular calcifications are a common condition for rheumatologists. been categorized as metastatic calcification, general- Jan 15, 2023 · A. It may progress to ossification, in which case a cortical and trab X ray shows subtle soft homogenous and amorphous calcification in the juxta articular location with no significant periarticular demineralization, Soft tissue swelling or widening of the joint, typically favoring acute calcific periarthritis. 49 Other adrenocortical insufficiency tuberculous - B90. Figure 1AP radiograph of the right foot demonstrating visible periarticular calcification on the medial aspect of the first metatarsophalangeal joint. There is also a hallux valgus deformity, which is not caused by scleroderma. 471 Other calcification of muscle, right ankle and foot M61. com Nov 23, 2012 · Periarticular calcifications may also occur with CPPD, although the presence of chondrocalcinosis is a helpful distinguishing feature. 'Peri' means that the swelling is around the joint, not inside the joint itself. Soft tissue calcifications pop up all of the time, and it behooves the radiologist to say something intelligent about them. A spectrum of injuries or pathologies can affect the SLC, resulting in pain, weakness, and foot deformity with the consequent collapse of the medial longitudinal arch that leads to pes planus [2]. Hydroxyapatite deposition disease (HADD) typically involves periarticular soft tissues, particularly tendons and ligaments. However, Jul 25, 2025 · The appearance of the joints may resemble other entities associated with periarticular soft-tissue calcifications. Tumoral calcinosis (TC) is a rare benign condition characterized by extensive nonosseous calcification within the periarticular soft tissues of large joints, such as hip, elbows, shoulders, and rarely foot [1–3]. The periarticular calcifications of the hand and foot in ACDC present similarities to other diseases (Table 2). ICD-10-CM Code for Other calcification of muscle, ankle and foot M61. CADD most frequently involves the rotator cuff. Differential diagnosis includes pseudoxanthoma elasticum and generalized arterial calcification of infancy, which present with ectopic mineralization while in homeostasis [5]. We review the clinical presentations, locations, imaging characteristics, and differential diagnostic considerations of myositis May 1, 2006 · Unfortunately, the term tumoral calcinosis has been liberally and imprecisely used to describe any massive collection of periarticular calcification, although this term actually refers to a hereditary condition associated with massive periarticular calcification. Mar 21, 2021 · Arterial calcification due to deficiency of CD73 (ACDC) is a hereditary autosomal recessive ectopic mineralization syndrome caused by loss-of-function mutations in the ecto-5′-nucleotidase gene. It is more common in the shoulder but can also involve the hip, knee, ankle, foot o Eccentric juxta-articular lobulated soft-tissue masses (hand, foot, ankle, elbow, knee) o Bilateral olecranon bursitis o Aural calcification · Joint findings o Preservation of joint space initially o Absence of periarticular demineralization o Erosion of joint margins with sclerosis o Cartilage destruction late in course of disease M61 is a non-billable diagnosis code for calcification and ossification of muscle, use codes with a higher level of specificity: M61. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M61. Soft tissue calcifications are usually caused by one of the following six entities. X ray shows subtle soft homogenous and amorphous calcification in the juxta articular location with no significant periarticular demineralization, Soft tissue swelling or widening of the joint, typically favoring acute calcific periarthritis. Acute calcific periarthritis (ACP) is a self-limiting, monoarticular, peri-articular process of dystrophic mineral deposition and adjacent inflammation. These are listed below in order of prevalence. Jul 18, 2025 · Dystrophic soft tissue calcification is a type of soft-tissue calcification, which occurs in damaged or necrotic tissue, while the serum level of calcium and phosphorus are normal. com Acute calcific periarthritis (ACP) is defined as periarticular inflammation associated with intra-articular deposits of hydroxyapatite and other basic calcium phosphate crystals. • Calcifications have to be differentiated form ossification and foreign body. Figure 2(A) Axial MRI of the right foot, fluid-weighted (T2-weighted) sequence, demonstrating high-intensity signal adjacent to the first MTP joint consistent with periarticular soft tissue edema. Pathophysiology ACP of the ankle falls This page has moved. Sep 6, 2025 · Heterotopic ossification refers to the presence of bone in soft tissue where bone normally does not exist (extraskeletal bone). This page has moved. Subcutaneous calcifications near the elbow in a patient with scleroderma. Acute calcific periarthritis (ACP) is a self-limiting, monoarticular, peri-articular process of dystrophic mineral deposition and adjacent inflammation. 2025 ICD-10-CM Alphabetic Index of diseases and injuries. com Posteroanterior (PA) plain radiograph of hand shows several nodular calcifications along the periarticular, periosteal spaces and subperiosteal resorptions in the phalangeal bones. One should first May 10, 2024 · Radiography of the foot revealed a dense, amorphous calcification on the plantar side, proximal to the left first metatarsal head (Figure 1 A). In our case, after medication and immobilization this calcification was gradually absorbed. These subcutaneous calcifications often form at pressure points. This type of arthritis is temporary and normally resolves in about 3 years. Nov 22, 2024 · Export to PPT Figure 2: (a) Computed tomography (CT) of the right foot shows abnormal irregular shaped and amorphous calcific foci in the periarticular region of the interphalangeal joint of the great toe along the medioplantar aspect (red arrow). M25. Using a simple algorithm based on the distribution pattern of the lesions and detailed clinical information, Sep 24, 2025 · Calcific tendinitis, also known as calcific tendinopathy or tendonitis, is a self-limiting condition due to the deposition of calcium hydroxyapatite within tendons, usually of the rotator cuff. The disease mainly affects people between 30 and 60, with a higher prevalence in women. May 12, 2023 · Bone erosions are typically described in articular (central or marginal) and periarticular (juxta-articular) locations and can affect the subchondral bone plate or the cortical bone. Hydroxyapatite deposition disease (HADD) refers to a spectrum of abnormalities that includes calcific tendinitis, other periarticular hydroxyapatite deposition, and hydroxyapatite induced arthritis. Patients most commonly present with palpable lesions around the hip and shoulder. Steroid paste can be found on the surface of infiltrated tendons. M61. Gout, particularly in patients with renal function impairment, may produce periarticular tophi-containing calcification, but the characteristic periarticular erosions seen with gout suggest the correct diagnosis. 80 is a billable diagnosis code used to specify other specified joint disorders, unspecified joint. Hypointense foci (yellow arrows) correspond to calcifications. May 4, 2017 · Calcific periarthritis is a rare, monoarticular, periarticular process of dystrophic mineral deposition, a distinct clinical type of calcium hydroxyapatite deposition disease. May 10, 2024 · Radiography of the foot revealed a dense, amorphous calcification on the plantar side, proximal to the left first metatarsal head (Figure 1 A). Less com-monly, there may be involvement of the hip, knee, ankle, foot, elbow, wrist and fingers [1, 3–5]. These codes specifically classify different types and locations of muscle calcification and ossification disorders, including traumatic, progressive, paralytic, burn-associated, and other causes. Patients with ACP present with a sudden onset of pain, together with The radiographic changes in patients with periarticular calcifications show varying patterns; the deposits may remain static for a long period, enlarge and change shape, or diminish in size and disappear (3). Calci-fications of tendons a d bursae are associated with calcium pyrophos-phat venous stasis. ACP is commonly misdiagnosed, in particular, as Mar 22, 2025 · Calcifications in soft tissue tumors present critical diagnostic challenges in musculoskeletal imaging. 02, Mar 29, 2012 · There is minimal periarticular calcification at the left shoulder near the supraspinatus insertion. May 14, 2024 · A 48-year-old White male with vague fifth metacarpophalangeal joint pain had unrevealing exams, but radiographs showed periarticular calcification concerning inflammation. Figure 9: Tophaceous gout in the knee. Apr 28, 2025 · severe resorption of the first carpometacarpal joint with radial subluxation is common 2-4,7 pencil-in-cup deformity 5 Extra-articular findings subcutaneous and periarticular calcification 2-4 soft tissue atrophy, especially at tips of fingers 2-4 flexion contractures: small joint contractures present in ~30% 6,8 Less common musculoskeletal Aug 16, 2019 · Figure 1: An X-ray of the left hand showed extensive vascular and periarticular calcification. Aug 26, 2022 · Symptoms occur when calcium crystals build up around the joint, resulting in inflammation. (9A) Coronal fat-suppressed, fluid-sensitive image demonstrates heterogeneous intermediate signal intra-articular masses (red arrows). Jan 1, 2010 · Calcification within tendon and periarticular soft tissues with or without a history of pain is commonly encountered in the interpretation of musculoskeletal MR imaging (MRI) studies. (9B) AP radiograph confirms calcification within the tophi (arrow) as well as meniscal chondrocalcinosis. Sep 20, 2024 · Tumoural calcinosis, also known as Teutschlaender disease, is a rare familial condition characterized by painless, periarticular masses. Browse the ICD-10-CM codes with references applicable to the clinical term "calcification" Calcification adrenal (capsule) (gland) - E27. The majority of cases involve the shoulder [2, 3]. In practice, only paraneoplastic syndromes such as Pierre-Marie-Bamberger syndrome may reveal a malignant tumor that is usually pulmonary and cyanotic. Jun 7, 2018 · Soft tissue calcification can be caused by secondary tumoural calcinosis from renal insufficiency, or collagen vascular diseases and by vascular calcifications, either arterial or venous (phlebolith). Periarticular calcifications occur in intra- or extra-articular components that have previously been involved in inflammatory or degenerative processes. Acute calcium deposits, including acute calcific periarthritis or acute calcific peritendinitis, are benign calcifying soft tissue lesions that have a self-resolving course. The shoulder is the most frequently involved sit Jan 1, 2015 · Tumoral calcinosis (TC) is a rare benign condition characterized by extensive nonosseous calcification within the periarticular soft tissues of large joints, such as hip, elbows, shoulders, and rarely foot [1], [2], [3]. 47 for Other calcification of muscle, ankle and foot is a medical classification as listed by WHO under the range - Soft tissue disorders . 461. 820 Generalized arterial calcification of infancy with unspecified genetic o Eccentric juxta-articular lobulated soft-tissue masses (hand, foot, ankle, elbow, knee) o Bilateral olecranon bursitis o Aural calcification · Joint findings o Preservation of joint space initially o Absence of periarticular demineralization o Erosion of joint margins with sclerosis o Cartilage destruction late in course of disease Feb 11, 2022 · It's an inflammatory, self-limiting, monoarticular, periarticular process of dystrophic mineral deposition (1) . They are characterized by deposition of carbonated apatite in tendons or connective tissues around joints. See full list on radiopaedia. These observations are not clinically important. Adult-onset calcification of the lower extremity arteries (CALJA), including the iliac, femoral, and tibial arteries, and hand and foot capsule joints, is an autosomal recessive condition that represents only the second mendelian disorder of isolated calcification (see generalized arterial calcification of infancy (GACI), 208000). Nov 23, 2012 · Periarticular calcifications may also occur with CPPD, although the presence of chondrocalcinosis is a helpful distinguishing feature. Periarticular calcific deposits may be missed or misinterpreted as accessory ossicles or avulsion fractures, particularly in the fingers and feet [15]. Treatment can help manage Sep 2, 2024 · Periarticular calcifications are characterized by apatite deposits in extra-articular structures such as tendons, bursa, ligaments or other connective tissue structures. Failure to recognize this condition can lead to unnecessary testing and inappropriate treatment. Although not common, bone marrow edema may be evident in the presence of peri-articular calcification [31]. Introduction Acute calcific periarthritis (ACP) is a self-limiting, monoar-ticular, peri-articular process of dystrophic mineral deposi-tion which was first described in 1870 by Duplay [1]. org Calcific periarthritis (perry-arth-ritus) is a condition that can cause painful swelling around your joints. A dense homogeneous calcified mass with interspersed fibrous septae is suggestive of idiopathic tumoral calcinosis, which can also reveal fluid-calcium levels on CT [29, 33]. 472 Other calcification of muscle, left ankle and foot ICD 10 code for Calcification and ossification of muscle, unspecified. - See: - Diff Dx: Hypercalcemia - Diff Dx: HyperPhosphatemia - Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications - Discussion: - calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints; - in either event the disease may be monoarticular or polyarticular; - periarticular disease affects men and women with equal frequency Oct 18, 2022 · Common causes of periarticular soft tissue calcification include: myositis ossificans post surgical dystrophic calcification or heterotopic bone formation calcific tendinitis or bursitis gout CPPD HADD calcific periarthritis (fingers and to Tumoral calcinosis is a disease characterised by lobular, calcified soft tissue masses that occur in periarticular locations, especially the hip, elbow, shoulder, foot and wrist. 8 Sequelae of tuberculosis of other organs aorta - I70. Jun 6, 2025 · Acute calcific periarthritis (ACP) is a self-limiting but often underrecognized condition that can closely mimics more serious joint pathologies such as septic arthritis. Nov 23, 2012 · Periarticular calcification is relatively nonspecific and can also be seen after traumatic or neurologic insult. Jun 21, 2021 · A list of conditions leading to periarticular calcifications can be further subdivided into multi-regional and single region involvement to assist in diagnosing (Table 1). Because of the rarity of acute calcific periarthritis of the ankle, the definitive diagnosis of this condition can be challenging [1]. Jan 15, 2023 · A. Extra-articular calcifications occur when in tendons, bursae, and ligaments (Figure 8), typically after surgery/trauma or as a result of hydroxyapatite crystal deposition. Differential Diagnosis of Soft Tissue Calcifications ICD 10 code for Other calcification of muscle, left hand. Search the alphabetic index for disease or condition. Calcium crystals occur naturally in the body and help make our bones and teeth strong. The inconsistent use of this term has created confusion throughout the literature. Fig. Primary malignant tumors in the soft or paraosteal tissues are rare in the wrist, hand and fingers Oct 1, 2024 · M61. Symptoms reduce in severity within 4-7 days and self resolve in 3-4 weeks. It is a common presentation of hydroxyapatite crystal Nov 23, 2012 · Periarticular calcification is relatively nonspecific and can also be seen after traumatic or neurologic insult. This pictorial review aims to explore the imaging characteristics, patterns, and implications of soft tissue calcifications, with a The ICD-10 code M61 covers conditions related to the calcification and ossification of muscle tissue, which means abnormal calcium deposits or bone formation within muscles. 1 They may also be found in tarsal bones. Calcifications may disappear over time, as they did in this case. 0 Atherosclerosis of aorta arterial generalized, of infancy - E83. ↓ See below for any exclusions, inclusions or special notations Soft-tissue calcification refers to a broad category of lesions. This chapter discusses some of the more common periarticular disorders. There is mild elevation in the humeral head at the left and perhaps a minimal amount on the right. Jul 16, 2020 · Soft Tissue Calcification (Tophaceous Pseudogout): Tophaceous pseudogout is a term reserved for tumor-like or mass-like deposition of CPPD crystals within the soft tissues, sometimes distant from articular and periarticular structures. 1 Periarticular calcification is associated with hyper-parathyroidism, hypervitaminosis D, and collagen vascular diseas . Calcium pyrophosphate dehydrate (CPPD) deposition, also known as acute CPP crystal arthritis, chondrocalcinosis, pyrophosphate arthropathy, or pseudogout, is a metabolic, inflammatory joint disease. B. 0, M61. Calcification periarticular and symmetric, found at the ends of long Conditions that lead to soft tissue calcification have bones. 472 is a valid billable ICD-10 diagnosis code for Other calcification of muscle, left ankle and foot. 1,2 Other names for HADD include calcific tendinosis, peritendinitis calcarea, calcific peritendinitis and bursitis, and hydroxyapatite rheumatism Jun 26, 2025 · Gout is a crystal arthropathy due to deposition of monosodium urate crystals in and around the joints. Synonyms: active range of cervical spine extension - finding, Sep 17, 2025 · Calcium pyrophosphate dihydrate deposition (CPPD) disease, also known as pyrophosphate arthropathy or pseudogout, is defined by the co-occurrence of arthritis with evidence of calcium pyrophosphate dihydrate deposition within the articular cartila Oct 21, 2025 · Hydroxyapatite crystal deposition disease (HADD) or calcium apatite deposition disease (CADD) is a disease of uncertain etiology characterized by periarticular and intra-articular calcium deposits. May 1, 2006 · Unfortunately, the term tumoral calcinosis has been liberally and imprecisely used to describe any massive collection of periarticular calcification, although this term actually refers to a hereditary condition associated with massive periarticular calcification. Surgical exploration unexpectedly revealed an encapsulated glass fragment eroding bone. Their presence and morphology can provide key clues for differentiating benign from malignant lesions, influencing both prognosis and management strategies. Periarticular disorders are common musculoskeletal abnormalities that can affect people throughout a wide range of ages. The term should be strictly used to refer to a disease caused by a hereditary metabolic dysfunction of phospha Jun 22, 2021 · Tumoral Calcinosis is a rare, hereditary metabolic dysfunction of phosphate regulation associated with development of massive periarticular calcinosis in the extra-capsular soft tissues. The differential diagnoses for this radiological finding are wide and can be classified into broad groups such as idiopathic, developmental, trauma, burns, infection, tumor, c … The purpose of this pictorial essay is to classify soft tissue calcifications according to their location: vessel, periarticular, joint capsule, tendon, bursa, cartilage, ligament, and in tumors, as well as to document the characteristic radiological findings and causes of calcifications. These calcifying lesions usually develop in the shoulder, while acute 5 playlists include this case Public playlists MSK by Cho Hangyeol MSK. Epidemiology Typically occurs in those above 40 years. Table 7. Periarticular calcification and ossification is a frequent finding on imaging and may sometimes pose a diagnostic challenge. Nov 1, 2001 · Question: My physician did an excision of heterotopic calcification and removal foreign body, left foot, plantar aspect. Sep 2, 2024 · Periarticular calcifications are a common condition for rheumatologists. Further history uncovered a forgotten glass laceration decade prior. Periarticular calcification has been reported but the clinical characterization of arthritis as well as the microstructure and chemical composition of periarticular calcifications and SF crystals has Hydroxyapatite crystal deposition disease (HADD) or calcium apatite deposition disease (CADD) is a disease of uncertain etiology characterized by periarticular and intra-articular calcium deposits. Calcium apatite deposition disease (CADD) is a common entity characterized by deposition of calcium apatite crystals within and around connective tissues, usually in a periarticular location. Lesions range from small clinically insignificant foci of ossification to large deposits of bone that cause pain and re the underly-ing systemic disorder. 7. Physical examination revealed slightly swollen and tender PIPs. There is a strong male predilection of 20:1, with this predilection more pronounced in Sep 4, 2024 · Subchondral sclerosis is a thickening of bone seen in joints affected by osteoarthritis. 29 Imaging characteristics are nonspecific, with the differential diagnosis including such entities as tophaceous gout, idiopathic or secondary tumoral Jul 22, 2024 · Background Acute calcific periarthritis (ACP) of the ankle is a rare and aseptic painful monoarticular inflammatory condition characterised by periarticular and intraarticular deposits of amorphous calcium hydroxyapatite. Get the facts. We diagnosed calcific tendinitis in the first flexor tendon of the left foot and initiated treatment with oral loxoprofen and naproxen; however, the pain persisted. It is found in the 2025 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025. 02, Nov 1, 2014 · Calcifications and ossifications that develop on the surface of bone and in the soft tissue of the wrist, hand and fingers are usually benign. Jun 19, 2016 · Osteoarthritic changes in the joint surfaces of the larger multangular bone. www. 9. dk rbyq c8 ouv bwrp ymuw ksw xfn todgsbs sn7