M60.052
BillableInfective myositis, left thigh
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M60.052 an HCC code?
No. M60.052 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
M60.052 is the ICD-10-CM diagnosis code for infective myositis, left thigh. A bacterial or viral infection of the muscle tissue in the left thigh, causing inflammation and pain. M60.052 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of muscles (m60-m63).
M60.052 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify left thigh is specifically documented; do not assume laterality from clinical presentation alone.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M60.052 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify left thigh is specifically documented; do not assume laterality from clinical presentation alone
- •Consider if this is related to trauma, injection, or systemic infection when reviewing documentation