Muscle, neoplasm of, benign, postoperative. Rate on impairment of function, i.e., limitation of motion, or scars, diagnostic code 7805, etc

Muscle, neoplasm of, benign, 

Benign neoplasm of muscle is a non-cancerous growth that develops in muscle tissue. Benign soft tissue tumors are noncancerous lumps that develop anywhere in the body where there is soft tissue, such as muscles, tendons, and fat. 

Causes 

Here are some causes of benign neoplasm of muscle:

  • Benign skeletal muscle neoplasm arises from skeletal muscle tissue.
  • Intramuscular myxoma is a benign soft-tissue neoplasm that has a predilection for large muscles, being most frequently seen in the thigh.
  • Leiomyomas are non-cancerous tumors that develop in smooth muscle and often happen as many painful lumps. They can start almost anywhere in the body but are most common in the gastrointestinal (GI) tract and uterus.
  • Benign soft tissue tumors are noncancerous lumps that develop anywhere in the body where there is soft tissue, such as muscles, tendons, and fat. Among the most common tumors which can be classified as benign soft tissue tumors are lipoma, angiolipoma, fibroma, benign fibrous histiocytoma, neurofibroma, schwannoma, neurilemmona, hemangioma, giant cell tumor of tendon sheath, and myxoma.
  • Muscle hernias are focal herniations of muscle tissue through a defect in its fascial sheath. They are most commonly found in the lower extremity. They are mostly underdiagnosed or misdiagnosed as muscle hematomas and varicosities. Chronic stress can cause muscle hernias.

Symptoms 

Benign neoplasms (non-cancerous growths) of muscle may not always cause noticeable symptoms. However, depending on their size, location, and proximity to surrounding structures, they can sometimes produce certain symptoms. Here are some possible symptoms associated with a benign neoplasm of muscle:

  • Lump or mass: A visible or palpable lump or mass may be present at the site of the neoplasm. It may feel firm or rubbery to the touch.
  • Pain: Some benign neoplasms can cause localized pain or discomfort, especially if they press against nerves or adjacent structures. The pain may be persistent or intermittent.
  • Limited range of motion: Depending on the location of the neoplasm, it can restrict the normal movement of the affected muscle or joint. This may lead to stiffness or difficulty in performing certain movements.
  • Weakness: In some cases, a benign neoplasm of muscle can cause weakness in the affected area. This weakness may affect muscle strength, leading to difficulty in performing tasks or activities that require muscular effort.
  • Compression symptoms: If the neoplasm grows large enough or compresses nearby structures, it can lead to symptoms such as numbness, tingling, or a sensation of pins and needles in the surrounding area.
  • Swelling or edema: In certain cases, a benign neoplasm may trigger localized swelling or edema due to its impact on lymphatic drainage or blood flow.

Diagnosis

Following are the ways to diagnose benign neoplasm of muscle:

  • Intramuscular myxoma is diagnosed through imaging tests such as X-rays, MRI, and CT scans.
  • Benign skeletal muscle neoplasm is diagnosed through imaging tests and biopsy.

Description Percentage

With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement

80
Description Percentage

With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement

50
Description Percentage

With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement

30
Description Percentage

With one characteristic of disfigurement

10

Note (1): The 8 characteristics of disfigurement, for purposes of evaluation under §4.118, are:

Scar 5 or more inches (13 or more cm.) in length. Scar at least one-quarter inch (0.6 cm.) wide at widest part.

Surface contour of scar elevated or depressed on palpation.

Scar adherent to underlying tissue.

Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. cm.).

Skin texture abnormal (irregular, atrophic, shiny, scaly, etc.) in

an area exceeding six square inches (39 sq. cm.).

Underlying soft tissue missing in an area exceeding six square inches (39 sq. cm.).

Skin indurated and inflexible in an area exceeding six square inches (39 sq. cm.).

 

Note (2): Rate tissue loss of the auricle under DC 6207 (loss of auricle) and anatomical loss of the eye under DC 6061 (anatomical loss of both eyes) or DC 6063 (anatomical loss of one eye), as appropriate.

Note (3): Take into consideration unretouched color photographs when evaluating under these criteria.

Note (4): Separately evaluate disabling effects other than disfigurement that are associated with individual scar(s) of the head, face, or neck, such as pain, instability, and residuals of associated muscle or nerve injury, under the appropriate diagnostic code(s) and apply § 4.25 to combine the evaluation(s) with the evaluation assigned under this diagnostic code.

Note (5): The characteristic(s) of disfigurement may be caused by one scar or by multiple scars; the characteristic(s) required to assign a particular evaluation need not be caused by a single scar in order to assign that evaluation.

Description Percentage

With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement

80

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