M62.81
M62.81: Muscle weakness (generalized)
Billable / specific codeICD-10-CM
M62.81 is a billable, specific ICD-10-CM code for muscle weakness (generalized). It is valid for submission on a claim.
Check M62.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- muscle weakness in sarcopenia (M62.84)
Excludes1 inherited from the categories above M62.81
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M62.81
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M62.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R53.1Weakness
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M62.81 is named in 20 Medicare coverage policies: 13 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
- Myasthenic
- Quadriparesis›meaning muscle weakness
- Weak, weakening, weakness›muscle
Code history
Unchanged in every release from FY2024 to FY2027.