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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of muscles (M60-M63)

M62

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other disorders of muscle

Other disorders of muscle

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M6Disorders of muscles (M60-M63)
M62Other disorders of muscle

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M62 in this effective period.

Excludes 2

Official
  • nontraumatic hematoma of muscle (M79.81)

Related Child Codes

Official
M62.0Separation of muscle (nontraumatic)
M62.1Other rupture of muscle (nontraumatic)
M62.2Nontraumatic ischemic infarction of muscle
M62.3Immobility syndrome (paraplegic)
M62.4Contracture of muscle

Includes

Official

ICD-10-CM does not list Includes notes for M62 in this effective period.

Excludes 1

Official
  • alcoholic myopathy (G72.1)
  • cramp and spasm (R25.2)
  • drug-induced myopathy (G72.0)
  • myalgia (M79.1-)
  • stiff-man syndrome (G25.82)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M62 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M62 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M62 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

M62 is the ICD-10-CM diagnosis code for other disorders of muscle. M62 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).

Header codes like M62 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M62's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M62 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1 — Do NOT code together

Excludes 2 — Not included here, may code separately

  • nontraumatic hematoma of muscle (M79.81)

Child Codes

Code Hierarchy

M62Other disorders of muscle
M62Other disorders of muscle

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