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M61.571

Billable

Other ossification of muscle, right ankle and foot

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

Is M61.571 an HCC code?

No. M61.571 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

M61.571 is the ICD-10-CM diagnosis code for other ossification of muscle, right ankle and foot. Abnormal bone formation in the muscles of the right ankle and foot, where muscle tissue gradually turns into bone. M61.571 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).

M61.571 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 laterality is documented as right ankle/foot to support the 571 code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M61.571 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify laterality is documented as right ankle/foot to support the 571 code
  • Distinguish from traumatic ossification (M61.0-M61.4 series) which requires injury history

Code Hierarchy

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