G72.0 — Drug-induced myopathy
G72.0 is a billable, specific ICD-10-CM code for drug-induced myopathy. It is valid for submission on a claim.
Other codes that can never be billed with G72.0
These codes carry an Excludes1 note pointing at G72.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G72.0 alone.
- M62Other disorders of muscle
Risk adjustment
G72.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
G72.0 is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How G72.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G72.0.
- Myopathy›drug-induced
- Myopathy›in›drugs
Related codes at this level
Codes that share G72. If G72.0 is not quite right, the correct code is usually one of these.
Questions about G72.0
- Is G72.0 a billable ICD-10-CM code?
- Yes. G72.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G72.0 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Diseases of myoneural junction and muscle (G70-G73).