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M61.479

Billable

Other calcification of muscle, unspecified ankle and foot

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

Is M61.479 an HCC code?

No. M61.479 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

M61.479 is the ICD-10-CM diagnosis code for other calcification of muscle, unspecified ankle and foot. Calcium deposits have formed in the muscles of the ankle and foot area, but the specific side (left or right) is not specified. M61.479 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).

M61.479 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.

Use only when laterality cannot be determined from available documentation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M61.479 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use only when laterality cannot be determined from available documentation
  • Query the provider to clarify which foot or ankle is affected for more accurate coding

Code Hierarchy

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