Is M60.86 a billable ICD-10-CM code?

No. M60.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M60.86 sit in the tabular list?

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

M60.86

M60.86 — Other myositis, lower leg

Non-billable headerICD-10-CM

M60.86 is a non-billable header ICD-10-CM code for other myositis, lower leg. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M60.86 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 M60.86

3 child codes. Green means billable.

M60.861Other myositis, right lower leg
M60.862Other myositis, left lower leg
M60.869Other myositis, unspecified lower leg

Related codes at this level

Codes that share M60.8. If M60.86 is not quite right, the correct code is usually one of these.

M60.80Other myositis, unspecified site
M60.81Other myositis shoulder
M60.82Other myositis, upper arm
M60.83Other myositis, forearm
M60.84Other myositis, hand
M60.85Other myositis, thigh
M60.87Other myositis, ankle and foot
M60.88Other myositis, other site
M60.89Other myositis, multiple sites

Questions about M60.86

Is M60.86 a billable ICD-10-CM code?: No. M60.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M60.86 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).