MCMedicalCodingSoftware
G72.49

G72.49: Other inflammatory and immune myopathies, not elsewhere classified

Billable / specific codeICD-10-CM

G72.49 is a billable, specific ICD-10-CM code for other inflammatory and immune myopathies, not elsewhere classified. It is valid for submission on a claim.

Check G72.49 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Inflammatory myopathy NOS

Excludes1 inherited from the categories above G72.49

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.-)

Risk adjustment

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

Medicare coverage

G72.49 is named in 22 Medicare coverage policies: 22 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
  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

  • Myopathy›immune NEC
  • Myopathy›inflammatory NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under G72.4

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.