M79.18
M79.18: Myalgia, other site
Billable / specific codeICD-10-CM
M79.18 is a billable, specific ICD-10-CM code for myalgia, other site. It is valid for submission on a claim.
Check M79.18 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M79.18
A category’s note binds every code beneath it.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M79.18 is named in 36 Medicare coverage policies: 29 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
Alphabetic index entries that lead here
- Myalgia›site specified NEC
- Pain›musculoskeletal
- Pain›myofascial
- Syndrome›myofascial pain
Code history
Unchanged in every release from FY2024 to FY2027.