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M62.112

Billable

Other rupture of muscle (nontraumatic), left 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 left shoulder that occurred without trauma or injury.

Coding Tips

  • Ensure documentation clearly indicates nontraumatic etiology to distinguish from traumatic muscle injuries
  • Specify the affected muscle (rotator cuff, deltoid, etc.) in clinical documentation for clarity

Code Hierarchy

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