M79

M79: Other and unspecified soft tissue disorders, not elsewhere classified

Non-billable headerICD-10-CM

M79 is a non-billable header ICD-10-CM code for other and unspecified soft tissue disorders, not elsewhere classified. 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.

psychogenic rheumatism (F45.8)
soft tissue pain, psychogenic (F45.41)

Other codes that can never be billed with M79

Their own Excludes1 notes name this code, so the conflict is not listed above.

G54Nerve root and plexus disorders
Z03.82Encounter for observation for suspected foreign body ruled out
L95Vasculitis limited to skin, not elsewhere classified
M35.6Relapsing panniculitis [Weber-Christian]
M54.0Panniculitis affecting regions of neck and back
M54.1Radiculopathy
M62Other disorders of muscle
M62.2Nontraumatic ischemic infarction of muscle

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 M79

11 child codes. Green means billable.