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

M62.06

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

Separation of muscle (nontraumatic), lower leg

Separation of muscle (nontraumatic), lower leg

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
M62Other disorders of muscle
M62.0Separation of muscle (nontraumatic)
M62.06Separation of muscle (nontraumatic), lower leg

Inclusion Terms

Official
  • Diastasis of muscle

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M62.06 in this effective period.

Related Child Codes

Official
M62.061Separation of muscle (nontraumatic), right lower leg
M62.062Separation of muscle (nontraumatic), left lower leg
M62.069Separation of muscle (nontraumatic), unspecified lower leg

Includes

Official

ICD-10-CM does not list Includes notes for M62.06 in this effective period.

Excludes 1

Official
  • diastasis recti complicating pregnancy, labor and delivery (O71.8)
  • traumatic separation of muscle- see strain of muscle by body region

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M62.06 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M62.06 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M62.06 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

M62.06 is the ICD-10-CM diagnosis code for separation of muscle (nontraumatic), lower leg. M62.06 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 M62.06 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 M62.06'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 M62.06 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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