Is M60.04 a billable ICD-10-CM code?

No. M60.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M60.04 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).

M60.04

M60.04 — Infective myositis, hand and fingers

Non-billable headerICD-10-CM

M60.04 is a non-billable header ICD-10-CM code for infective myositis, hand and fingers. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M60.04 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.

Code to one of these instead M60.04

6 child codes. Green means billable.

M60.041Infective myositis, right hand
M60.042Infective myositis, left hand
M60.043Infective myositis, unspecified hand
M60.044Infective myositis, right finger(s)
M60.045Infective myositis, left finger(s)
M60.046Infective myositis, unspecified finger(s)

Related codes at this level

Codes that share M60.0. If M60.04 is not quite right, the correct code is usually one of these.

M60.00Infective myositis, unspecified site
M60.01Infective myositis, shoulder
M60.02Infective myositis, upper arm
M60.03Infective myositis, forearm
M60.05Infective myositis, thigh
M60.06Infective myositis, lower leg
M60.07Infective myositis, ankle, foot and toes
M60.08Infective myositis, other site
M60.09Infective myositis, multiple sites

Questions about M60.04

Is M60.04 a billable ICD-10-CM code?: No. M60.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M60.04 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).