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M62.5A ICD-10-CM Code: Muscle wasting and atrophy, not elsewhere classified, back

ICD-10-CM Code View

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

M62.5A

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Muscle wasting and atrophy, not elsewhere classified, back

Muscle wasting and atrophy, not elsewhere classified, back

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
M62Other disorders of muscle
M62.5Muscle wasting and atrophy, not elsewhere classified
M62.5AMuscle wasting and atrophy, not elsewhere classified, back

Inclusion Terms

Official
  • Disuse atrophy NEC

Excludes 2

Official
  • pelvic muscle wasting (N81.84)

Related Child Codes

Official
M62.5A0Muscle wasting and atrophy, not elsewhere classified, back, cervical
M62.5A1Muscle wasting and atrophy, not elsewhere classified, back, thoracic
M62.5A2Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral
M62.5A9Muscle wasting and atrophy, not elsewhere classified, back, unspecified level

Includes

Official

ICD-10-CM does not list Includes notes for M62.5A in this effective period.

Excludes 1

Official
  • neuralgic amyotrophy (G54.5)
  • progressive muscular atrophy (G12.21)
  • sarcopenia (M62.84)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M62.5A in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M62.5A in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M62.5A in this effective period.

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 →

Code
M62.5A
Description
Muscle wasting and atrophy, not elsewhere classified, back
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

M62.5A is the ICD-10-CM diagnosis code for muscle wasting and atrophy, not elsewhere classified, back. M62.5A 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).

Header codes like M62.5A cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M62.5A's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M62.5A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

M62.5A code history

Code setChange
FY2023 (effective Oct 1, 2022)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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