M79.1
M79.1: Myalgia
Non-billable headerICD-10-CM
M79.1 is a non-billable header ICD-10-CM code for myalgia. 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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Myofascial pain syndrome
Other codes that can never be billed with M79.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M62Other disorders 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 M79.1
4 child codes. Green means billable.
Other codes under M79
- M79.0Rheumatism, unspecified
- 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