M79.609
M79.609: Pain in unspecified limb
Billable / specific codeICD-10-CMunspecified
M79.609 is a billable, specific ICD-10-CM code for pain in unspecified limb. It is valid for submission on a claim.
Check M79.609 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pain in limb NOS
Excludes1 inherited from the categories above M79.609
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M79.609
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M79.609 is named in 12 Medicare coverage policies: 3 listing it as supporting medical necessity, and 9 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
- A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- 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
Alphabetic index entries that lead here
- Pain›limb
Code history
Unchanged in every release from FY2024 to FY2027.