M62.85
M62.85: Dysfunction of the multifidus muscles, lumbar region
Billable / specific codeICD-10-CM
M62.85 is a billable, specific ICD-10-CM code for dysfunction of the multifidus muscles, lumbar region. It is valid for submission on a claim.
Check M62.85 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M62.85
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M62.85
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
M62.85 is named in 21 Medicare coverage policies: 14 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
- Dysfunction›multifidus muscles, lumbar region
Code history
- addedFY2024-FY2027
Dysfunction of the multifidus muscles, lumbar region