Is M62.459 a billable ICD-10-CM code?

Yes. M62.459 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M62.459 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 M62.459?

M62.459 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 M62.459 (M62.4, M62) and apply to it just the same.

M62.459

M62.459 — Contracture of muscle, unspecified thigh

Billable / specific codeICD-10-CM

M62.459 is a billable, specific ICD-10-CM code for contracture of muscle, unspecified thigh. It is valid for submission on a claim.

Excludes1 inherited from the categories above M62.459

These are not written on M62.459, but they bind it: a note on a category applies to every code beneath it. Billing M62.459 with anything listed here is a denial.

Written on M62.4 — Contracture of muscle

contracture of joint (M24.5-)

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 M62.459

Also inherited, and the opposite of Excludes1: these conditions are not part of M62.459, 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

M62.459 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

M62.459 is named in 8 Medicare coverage policies — 1 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

M62.459 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 M62.45. If M62.459 is not quite right, the correct code is usually one of these.

Questions about M62.459

Is M62.459 a billable ICD-10-CM code?: Yes. M62.459 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M62.459 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 M62.459?: M62.459 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 M62.459 (M62.4, M62) and apply to it just the same.