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M62.519 ICD-10-CM Code: Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of muscles (M60-M63)

M62.519

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder

Loss of muscle mass and weakening in the shoulder area when it is unclear whether it affects the right or left side.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
M62.5Muscle wasting and atrophy, not elsewhere classified
M62.51Muscle wasting and atrophy, not elsewhere classified, shoulder
M62.519Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M62.519 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M62.519 in this effective period.

Related Child Codes

Official
M62.511Muscle wasting and atrophy, not elsewhere classified, right shoulder
M62.512Muscle wasting and atrophy, not elsewhere classified, left shoulder

Includes

Official

ICD-10-CM does not list Includes notes for M62.519 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M62.519 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M62.519 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M62.519 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M62.519 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the shoulder is affected but laterality cannot be determined from documentation.
Request clarification from the provider if possible to assign the appropriate lateralized code (M62.511 or M62.512).

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is M62.519 an HCC code?

No. M62.519 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
M62.519
Description
Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

M62.519 is the ICD-10-CM diagnosis code for muscle wasting and atrophy, not elsewhere classified, unspecified shoulder. Loss of muscle mass and weakening in the shoulder area when it is unclear whether it affects the right or left side. M62.519 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of muscles (m60-m63).

M62.519 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when the shoulder is affected but laterality cannot be determined from documentation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M62.519 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the shoulder is affected but laterality cannot be determined from documentation.
  • Request clarification from the provider if possible to assign the appropriate lateralized code (M62.511 or M62.512).

Child Codes

Code Hierarchy

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