M63

M63: Disorders of muscle in diseases classified elsewhere

Non-billable headerICD-10-CM

M63 is a non-billable header ICD-10-CM code for disorders of muscle in diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

myopathy in cysticercosis (B69.81)
myopathy in endocrine diseases (G73.7)
myopathy in metabolic diseases (G73.7)
myopathy in sarcoidosis (D86.87)
myopathy in secondary syphilis (A51.49)
myopathy in syphilis (late) (A52.78)
myopathy in toxoplasmosis (B58.82)
myopathy in tuberculosis (A18.09)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
leprosy (A30.-)
neoplasm (C49.-, C79.89, D21.-, D48.1-)
schistosomiasis (B65.-)
trichinellosis (B75)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M63

1 child code. Green means billable.

M63.8Disorders of muscle in diseases classified elsewhere