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M62.111

Billable

Other rupture of muscle (nontraumatic), right shoulder

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

What This Code Means

A spontaneous tear or rupture of a muscle in the right shoulder that occurred without trauma or injury.

Coding Tips

  • Verify the rupture is nontraumatic; if trauma is documented, use a different code from the S46 category
  • Confirm laterality is right shoulder and document which specific muscle is affected when possible

Code Hierarchy

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