M62.5A2 ICD-10-CM Code: Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of muscles (M60-M63)
M62.5A2
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceMuscle wasting and atrophy, not elsewhere classified, back, lumbosacral
Loss of muscle mass and strength in the lumbosacral (lower back and sacral) region.
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for M62.5A2 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M62.5A2 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M62.5A2 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M62.5A2 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M62.5A2 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M62.5A2 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M62.5A2 in this effective period.
Buddy Documentation Tip
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 M62.5A2 an HCC code?
No. M62.5A2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- M62.5A2
- Description
- Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral
- 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
M62.5A2 is the ICD-10-CM diagnosis code for muscle wasting and atrophy, not elsewhere classified, back, lumbosacral. Loss of muscle mass and strength in the lumbosacral (lower back and sacral) region. M62.5A2 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).
M62.5A2 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.
This is the most common back location for muscle atrophy; verify lumbosacral level is documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M62.5A2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is the most common back location for muscle atrophy; verify lumbosacral level is documented
- •Investigate for underlying causes such as lumbar radiculopathy, spinal stenosis, or disuse