M63.819
M63.819: Disorders of muscle in diseases classified elsewhere, unspecified shoulder
Billable / specific codeICD-10-CMunspecified
M63.819 is a billable, specific ICD-10-CM code for disorders of muscle in diseases classified elsewhere, unspecified shoulder. It is valid for submission on a claim.
Check M63.819 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M63.819
A category’s note binds every code beneath it.
Written on M63: Disorders of muscle in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M63.819 is named in 7 Medicare coverage policies: 0 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
Code history
Unchanged in every release from FY2024 to FY2027.