M62.18
M62.18: Other rupture of muscle (nontraumatic), other site
Billable / specific codeICD-10-CM
M62.18 is a billable, specific ICD-10-CM code for other rupture of muscle (nontraumatic), other site. It is valid for submission on a claim.
Check M62.18 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M62.18
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 M62.18
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
M62.18 is named in 11 Medicare coverage policies: 4 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
Alphabetic index entries that lead here
- Rupture, ruptured›muscle›nontraumatic›specified site NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M62.1
- M62.10Other rupture of muscle (nontraumatic), unspecified site
- M62.11Other rupture of muscle (nontraumatic), shoulder
- M62.12Other rupture of muscle (nontraumatic), upper arm
- M62.13Other rupture of muscle (nontraumatic), forearm
- M62.14Other rupture of muscle (nontraumatic), hand
- M62.15Other rupture of muscle (nontraumatic), thigh
- M62.16Other rupture of muscle (nontraumatic), lower leg
- M62.17Other rupture of muscle (nontraumatic), ankle and foot