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M61.232

Billable

Paralytic calcification and ossification of muscle, left forearm

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

Is M61.232 an HCC code?

No. M61.232 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

M61.232 is the ICD-10-CM diagnosis code for paralytic calcification and ossification of muscle, left forearm. Abnormal calcium deposits and bone formation in the muscles of the left forearm, typically occurring after paralysis or severe injury. M61.232 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).

M61.232 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 the location is documented as forearm to differentiate from wrist or hand involvement.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M61.232 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure the location is documented as forearm to differentiate from wrist or hand involvement
  • Verify left side is clearly indicated in the medical record

Code Hierarchy

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