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M62.129

Billable

Other rupture of muscle (nontraumatic), unspecified 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 upper arm when the specific side (left or right) is not documented or is bilateral.

Coding Tips

  • •This unspecified code should be avoided when possible; attempt to clarify laterality with the provider
  • •Document the anatomical location clearly to support medical necessity

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