M62.172
M62.172: Other rupture of muscle (nontraumatic), left ankle and foot
Billable / specific codeICD-10-CMleft
M62.172 is a billable, specific ICD-10-CM code for other rupture of muscle (nontraumatic), left ankle and foot. It is valid for submission on a claim.
Check M62.172 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M62.172
A category’s note binds every code beneath it.
Written on M62.1: Other rupture of muscle (nontraumatic)
- traumatic rupture of muscle - see strain of muscle by body region
Excludes2 inherited from the categories above M62.172
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M62.172 is named in 12 Medicare coverage policies: 5 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.