Is M62.10 a billable ICD-10-CM code?

Yes. M62.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M62.10 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 M62.10?

M62.10 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M62.10 (M62.1, M62) and apply to it just the same.

M62.10

M62.10 — Other rupture of muscle (nontraumatic), unspecified site

Billable / specific codeICD-10-CM

M62.10 is a billable, specific ICD-10-CM code for other rupture of muscle (nontraumatic), unspecified site. It is valid for submission on a claim.

Excludes1 inherited from the categories above M62.10

These are not written on M62.10, but they bind it: a note on a category applies to every code beneath it. Billing M62.10 with anything listed here is a denial.

Written on M62.1 — Other rupture of muscle (nontraumatic)

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

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 M62.10

Also inherited, and the opposite of Excludes1: these conditions are not part of M62.10, but a patient can have both, so you may code both.

Written on M62.1 — Other rupture of muscle (nontraumatic)

rupture of tendon (M66.-)

Written on M62 — Other disorders of muscle

nontraumatic hematoma of muscle (M79.81)

Risk adjustment

M62.10 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.

Medicare coverage

M62.10 is named in 7 Medicare coverage policies — 0 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

How M62.10 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M62.10.

Rupture, ruptured›muscle›nontraumatic

Code history

M62.10 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M62.1. If M62.10 is not quite right, the correct code is usually one of these.

Questions about M62.10

Is M62.10 a billable ICD-10-CM code?: Yes. M62.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M62.10 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 M62.10?: M62.10 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M62.10 (M62.1, M62) and apply to it just the same.