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G72 ICD-10-CM Code: Other and unspecified myopathies

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Diseases of myoneural junction and muscle (G70-G73)

G72

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other and unspecified myopathies

Other and unspecified myopathies

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G7Diseases of myoneural junction and muscle (G70-G73)
G72Other and unspecified myopathies

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G72 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G72 in this effective period.

Related Child Codes

Official
G72.0Drug-induced myopathy
G72.1Alcoholic myopathy
G72.2Myopathy due to other toxic agents
G72.3Periodic paralysis
G72.4Inflammatory and immune myopathies, not elsewhere classified

Includes

Official

ICD-10-CM does not list Includes notes for G72 in this effective period.

Excludes 1

Official
  • arthrogryposis multiplex congenita (Q74.3)
  • dermatopolymyositis (M33.-)
  • ischemic infarction of muscle (M62.2-)
  • myositis (M60.-)
  • polymyositis (M33.2.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G72 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G72 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G72 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G72 is the ICD-10-CM diagnosis code for other and unspecified myopathies. G72 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering diseases of myoneural junction and muscle (g70-g73).

Header codes like G72 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G72's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G72 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • arthrogryposis multiplex congenita (Q74.3)
  • dermatopolymyositis (M33.-)
  • ischemic infarction of muscle (M62.2-)
  • myositis (M60.-)
  • polymyositis (M33.2.-)

Child Codes

Code Hierarchy

G72Other and unspecified myopathies
G72Other and unspecified myopathies

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