M79.605
M79.605 — Pain in left leg
Billable / specific codeICD-10-CMleft
M79.605 is a billable, specific ICD-10-CM code for pain in left leg. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pain in left lower limb NOS
Risk adjustment
M79.605 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.
Medicare coverage
M79.605 is named in 38 Medicare coverage policies — 26 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
- A57701Billing and Coding: Trigger Point Injections (TPI)not covered
- A58865Billing 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
Related codes at this level
Codes that share M79.60. If M79.605 is not quite right, the correct code is usually one of these.
Questions about M79.605
- Is M79.605 a billable ICD-10-CM code?
- Yes. M79.605 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M79.605 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).