M61.11
M61.11 — Myositis ossificans progressiva, shoulder
Non-billable headerICD-10-CM
M61.11 is a non-billable header ICD-10-CM code for myositis ossificans progressiva, shoulder. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M61.11 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 M61.11
3 child codes. Green means billable.
Related codes at this level
Codes that share M61.1. If M61.11 is not quite right, the correct code is usually one of these.
- M61.10Myositis ossificans progressiva, unspecified site
- M61.12Myositis ossificans progressiva, upper arm
- M61.13Myositis ossificans progressiva, forearm
- M61.14Myositis ossificans progressiva, hand and finger(s)
- M61.15Myositis ossificans progressiva, thigh
- M61.16Myositis ossificans progressiva, lower leg
- M61.17Myositis ossificans progressiva, ankle, foot and toe(s)
- M61.18Myositis ossificans progressiva, other site
- M61.19Myositis ossificans progressiva, multiple sites
Questions about M61.11
- Is M61.11 a billable ICD-10-CM code?
- No. M61.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M61.11 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).