MCMCB Pro
M79

M79Other 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

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.

  • 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
  • M79.0Rheumatism, unspecified
  • M79.1Myalgia

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.

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.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.