M62.0
M62.0 — Separation of muscle (nontraumatic)
Non-billable headerICD-10-CM
M62.0 is a non-billable header ICD-10-CM code for separation of muscle (nontraumatic). It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- diastasis recti complicating pregnancy, labor and delivery (O71.8)
- traumatic separation of muscle- see strain of muscle by body region
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diastasis of muscle
Risk adjustment
M62.0 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.
Code to one of these instead M62.0
9 child codes. Green means billable.
- M62.00Separation of muscle (nontraumatic), unspecified site
- M62.01Separation of muscle (nontraumatic), shoulder
- M62.02Separation of muscle (nontraumatic), upper arm
- M62.03Separation of muscle (nontraumatic), forearm
- M62.04Separation of muscle (nontraumatic), hand
- M62.05Separation of muscle (nontraumatic), thigh
- M62.06Separation of muscle (nontraumatic), lower leg
- M62.07Separation of muscle (nontraumatic), ankle and foot
- M62.08Separation of muscle (nontraumatic), other site
Related codes at this level
Codes that share M62. If M62.0 is not quite right, the correct code is usually one of these.
Questions about M62.0
- Is M62.0 a billable ICD-10-CM code?
- No. M62.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M62.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).
- What cannot be coded together with M62.0?
- M62.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.