M79.81
M79.81: Nontraumatic hematoma of soft tissue
Billable / specific codeICD-10-CM
M79.81 is a billable, specific ICD-10-CM code for nontraumatic hematoma of soft tissue. It is valid for submission on a claim.
Check M79.81 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nontraumatic hematoma of muscle
- Nontraumatic seroma of muscle and soft tissue
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M79.81 is named in 13 Medicare coverage policies: 6 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
- Hematoma›nontraumatic›muscle
- Hematoma›nontraumatic›soft tissue
Code history
Unchanged in every release from FY2024 to FY2027.