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M62.019

Billable

Separation of muscle (nontraumatic), unspecified shoulder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Spontaneous muscle separation or rupture in the shoulder when the specific side (left or right) is not documented.

Coding Tips

  • •Use only when laterality cannot be determined from available documentation
  • •Request clarification from provider regarding which shoulder is affected for accurate coding

Code Hierarchy

└M62Other disorders of muscle└M62.0Separation of muscle (nontraumatic)└M62.01Separation of muscle (nontraumatic), shoulder└M62.019Separation of muscle (nontraumatic), unspecified shoulder
└M62.019Separation of muscle (nontraumatic), unspecified shoulder

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