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M62.119

Billable

Other rupture 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

A spontaneous tear or rupture of a muscle in the shoulder area when the specific side (left or right) is not documented or is bilateral.

Coding Tips

  • •Use this code only when laterality cannot be determined from the medical record
  • •Query the provider if possible to obtain specific laterality information for more precise coding

Code Hierarchy

└M62Other disorders of muscle└M62.1Other rupture of muscle (nontraumatic)└M62.11Other rupture of muscle (nontraumatic), shoulder└M62.119Other rupture of muscle (nontraumatic), unspecified shoulder
└M62.119Other rupture of muscle (nontraumatic), unspecified shoulder

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