Is ICD-10-CM code M62 billable?

No, M62 (Other disorders of muscle) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code M62 belong to?

M62 belongs to Chapter 13 of the ICD-10-CM tabular list: M00–M99 (Diseases of the Musculoskeletal System and Connective Tissue).

M62Not billable, use a more specific code below

Other disorders of muscle

In Disorders of muscles (M60-M63), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue

131 billable codes under M62: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

alcoholic myopathy (G72.1)
cramp and spasm (R25.2)
drug-induced myopathy (G72.0)
myalgia (M79.1-)
stiff-man syndrome (G25.82)

Excludes2: not included here, code separately if applicable

nontraumatic hematoma of muscle (M79.81)

Also applies, from Disorders of muscles (M60-M63)

These notes sit on M60-M63 and apply to every code under it, including M62.

Excludes1: not coded here, use a different code

dermatopolymyositis (M33.-)
myopathy in amyloidosis (E85.-)
myopathy in polyarteritis nodosa (M30.0)
myopathy in rheumatoid arthritis (M05.32)
myopathy in scleroderma (M34.-)
myopathy in Sjögren's syndrome (M35.03)
myopathy in systemic lupus erythematosus (M32.-)

Excludes2: not included here, code separately if applicable

muscular dystrophies and myopathies (G71-G72)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.

Site and laterality (page 60)
Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
Coding of Pathologic Fractures (page 61)
Osteoporosis (page 61)
Multisystem Inflammatory Syndrome (page 62)

Read Section I.C.13 (page 60)

All codes under M62

M62 can't be used on a claim. Pick a billable code below; grey headings group them.

M62 MS-DRGs

As the principal diagnosis, the billable codes under M62 group to MS-DRG 557, 558, 555, 556, 551, or 552 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 557 Tendonitis, Myositis and Bursitis with MCC (103 of 131 codes)
DRG 558 Tendonitis, Myositis and Bursitis without MCC (103 of 131 codes)
DRG 555 Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC (27 of 131 codes)
DRG 556 Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC (27 of 131 codes)
DRG 551 Medical Back Problems with MCC (1 of 131 codes)
DRG 552 Medical Back Problems without MCC (1 of 131 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Muscle Disorders

Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.