Is M62.212 a billable ICD-10-CM code?

Yes. M62.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M62.212 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 M62.212?

M62.212 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 M62.212 (M62.2, M62) and apply to it just the same.

M62.212

M62.212 — Nontraumatic ischemic infarction of muscle, left shoulder

Billable / specific codeICD-10-CMleft

M62.212 is a billable, specific ICD-10-CM code for nontraumatic ischemic infarction of muscle, left shoulder. It is valid for submission on a claim.

Excludes1 inherited from the categories above M62.212

These are not written on M62.212, but they bind it: a note on a category applies to every code beneath it. Billing M62.212 with anything listed here is a denial.

Written on M62.2 — Nontraumatic ischemic infarction of muscle

compartment syndrome (traumatic) (T79.A-)
nontraumatic compartment syndrome (M79.A-)
traumatic ischemia of muscle (T79.6)
rhabdomyolysis (M62.82)
Volkmann's ischemic contracture (T79.6)

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 M62.212

Also inherited, and the opposite of Excludes1: these conditions are not part of M62.212, but a patient can have both, so you may code both.

Written on M62 — Other disorders of muscle

nontraumatic hematoma of muscle (M79.81)

Risk adjustment

M62.212 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

M62.212 is named in 19 Medicare coverage policies — 12 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

Code history

M62.212 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 M62.21. If M62.212 is not quite right, the correct code is usually one of these.

Questions about M62.212

Is M62.212 a billable ICD-10-CM code?: Yes. M62.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M62.212 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 M62.212?: M62.212 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 M62.212 (M62.2, M62) and apply to it just the same.