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M60.872

Billable

Other myositis, left ankle and foot

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is M60.872 an HCC code?

No. M60.872 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

M60.872 is the ICD-10-CM diagnosis code for other myositis, left ankle and foot. Inflammation of muscle tissue in the left ankle and foot region. M60.872 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).

M60.872 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.

Ensure documentation specifies left side to justify this laterality-specific code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M60.872 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure documentation specifies left side to justify this laterality-specific code
  • Note the specific muscles involved (intrinsic foot muscles, calf muscles) if documented

Code Hierarchy

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