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.
Other codes that can never be billed with M79
These codes carry an Excludes1 note pointing at M79. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M79 alone.
Risk adjustment
M79 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M79
11 child codes. Green means billable.
- M79.0Rheumatism, unspecified
- M79.1Myalgia
- M79.2Neuralgia and neuritis, unspecified
- M79.3Panniculitis, unspecified
- M79.4Hypertrophy of (infrapatellar) fat pad
- M79.5Residual foreign body in soft tissue
- M79.6Pain in limb, hand, foot, fingers and toes
- M79.7Fibromyalgia
- M79.ANontraumatic compartment syndrome
- M79.8Other specified soft tissue disorders
- M79.9Soft tissue disorder, unspecified
Questions about M79
- Is M79 a billable ICD-10-CM code?
- No. M79 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M79 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).
- What cannot be coded together with M79?
- M79 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.