M62.1

M62.1: Other rupture of muscle (nontraumatic)

Non-billable headerICD-10-CM

M62.1 is a non-billable header ICD-10-CM code for other rupture 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.

traumatic rupture of muscle - see strain of muscle by body region

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

rupture of tendon (M66.-)

Excludes1 inherited from the categories above M62.1

A category’s note binds every code beneath it.

Written on M62: Other disorders of muscle

alcoholic myopathy (G72.1)
cramp and spasm (R25.2)
drug-induced myopathy (G72.0)
myalgia (M79.1-)
stiff-man syndrome (G25.82)

Excludes2 inherited from the categories above M62.1

Not part of this code, but both may be coded when both are present.

Written on M62: Other disorders of muscle

nontraumatic hematoma of muscle (M79.81)

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M62.1

9 child codes. Green means billable.