2025 ICD-10-CM code M79.A
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Soft tissue disorders - Other soft tissue disorders (M70-M79) Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Nontraumatic compartment syndrome.Code first, if applicable, any associated postprocedural complication.
Modifiers may be applicable depending on the circumstances of the service provided.Consult the current CPT and payer guidelines for specific modifier usage.
Medical necessity for treatment of nontraumatic compartment syndrome is established by the presence of elevated compartment pressures compromising blood flow to the affected muscles and nerves. This leads to potential tissue damage and irreversible functional impairment if not addressed promptly.The need for surgery (fasciotomy) is determined based on the severity of symptoms and compartment pressure measurements.Conservative management (e.g. pain control, elevation, ice) is appropriate for mild cases.
Diagnosis and treatment of nontraumatic compartment syndrome may involve various medical professionals, including primary care physicians, orthopedists, and surgeons. The clinical responsibility includes a thorough evaluation of the patient's symptoms, a physical examination which might include compartment pressure measurement, ordering appropriate imaging studies (if necessary), and determining the most effective treatment approach, which can range from conservative management with pain medication and physical therapy to surgical intervention (fasciotomy) to relieve pressure.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Soft tissue disorders (M60-M79) > Other soft tissue disorders (M70-M79)
In simple words: Nontraumatic compartment syndrome is a painful condition where swelling causes pressure to build up in a muscle group, cutting off blood supply. This can happen without an injury. Symptoms include pain, tightness, numbness, and weakness. Doctors diagnose it through exams and pressure tests. Treatment might involve pain relievers, exercises, or surgery to release pressure.
Nontraumatic compartment syndrome is a painful condition characterized by increased pressure within a confined anatomical space (compartment) due to swelling from non-traumatic causes such as hemorrhage. This increased pressure compromises circulation to the muscles, nerves, and blood vessels within the compartment, potentially leading to tissue damage.Symptoms may include pain, tightness, tenderness, numbness or tingling, muscle weakness, and restricted range of motion. Diagnosis involves assessing the patient's history and physical examination, often including compartment pressure measurements using a needle and pressure meter. Treatment options range from analgesics and NSAIDs to physical therapy and surgical decompression to reduce compartment pressure.
Example 1: A marathon runner experiences intense pain and swelling in their lower leg after a race.Compartment pressure measurements reveal elevated pressures, consistent with nontraumatic compartment syndrome.Treatment involves fasciotomy., A patient with a bleeding disorder develops swelling and pain in their forearm.The swelling increases compartment pressure, leading to a diagnosis of nontraumatic compartment syndrome. Surgical decompression is needed., A patient with a history of intense exercise develops pain, numbness, and swelling in their calf muscle, along with weakness. The physician diagnoses compartment syndrome and initiates treatment with elevation, ice, and analgesics, followed by surgical intervention if symptoms do not improve.
Detailed patient history including symptoms (pain, numbness, tingling, weakness), onset, aggravating factors (exercise), and associated medical conditions.Physical examination findings including compartment palpation, range of motion assessment, and sensory testing.Compartment pressure measurements.Relevant imaging studies (e.g., ultrasound, CT, MRI, depending on clinical suspicion).Documentation of treatment and response, including surgical notes if applicable.
** Nontraumatic compartment syndrome is a relatively rare condition.Prompt diagnosis and treatment are crucial to minimize long-term complications.The choice between conservative and surgical management depends on the severity of the condition and the clinical presentation.
- Payment Status: Active
- Specialties:Orthopedics, Sports Medicine, Vascular Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Emergency Room