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M62.121

Billable

Other rupture of muscle (nontraumatic), right upper arm

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 upper arm that occurred without trauma or injury.

Coding Tips

  • Distinguish between upper arm (M62.12x) and shoulder (M62.11x) based on anatomical location documented
  • Document whether the rupture involves biceps, triceps, or other upper arm muscles when available

Code Hierarchy

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