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M62.159

Billable

Other rupture of muscle (nontraumatic), unspecified thigh

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 thigh without trauma, but the specific thigh (left or right) is not specified.

Coding Tips

  • This is a less specific code; attempt to clarify laterality with the provider
  • Review imaging or clinical notes to determine if rupture is unilateral or bilateral

Code Hierarchy

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