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M62.069

Billable

Separation of muscle (nontraumatic), unspecified lower leg

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

What This Code Means

A spontaneous separation or tearing of muscle fibers in the lower leg without trauma, when the specific side is not documented or is bilateral.

Coding Tips

  • This is a default code when laterality is not specified in the medical record
  • Request clarification from provider regarding right versus left involvement when possible

Code Hierarchy

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