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M62.169

Billable

Other rupture of muscle (nontraumatic), unspecified lower leg

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

Coding Tips

  • Use only when laterality is truly unspecified or bilateral
  • Query provider for clarification on affected side when documentation is unclear

Code Hierarchy

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