G72.0

G72.0: Drug-induced myopathy

Billable / specific codeICD-10-CM

G72.0 is a billable, specific ICD-10-CM code for drug-induced myopathy. It is valid for submission on a claim.

Check G72.0 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1 inherited from the categories above G72.0

A category’s note binds every code beneath it.

Written on G72: Other and unspecified myopathies

arthrogryposis multiplex congenita (Q74.3)
dermatopolymyositis (M33.-)
ischemic infarction of muscle (M62.2-)
myositis (M60.-)
polymyositis (M33.2.-)

Other codes that can never be billed with G72.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

M62Other disorders of muscle

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G72.0 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52494High Frequency Chest Wall Oscillation Devices - Policy Article
A52510Mechanical In-exsufflation Devices - Policy Article
A53052Billing and Coding: Home Health Speech-Language Pathology
A53057Billing and Coding: Home Health Occupational Therapy

Alphabetic index entries that lead here

Myopathy›drug-induced
Myopathy›in›drugs

Code history

Unchanged in every release from FY2024 to FY2027.