M70.962 ICD-10-CM Code: Unspecified soft tissue disorder related to use, overuse and pressure, left lower leg
M70.962 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other soft tissue disorders (M70-M79)
M70.962
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceUnspecified soft tissue disorder related to use, overuse and pressure, left lower leg
A soft tissue problem in the left lower leg caused by repetitive use, overuse, or pressure, without a more specific diagnosis.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
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 M70.962 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M70.962 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M70.962 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M70.962 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M70.962 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M70.962 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M70.962 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 M70.962 an HCC code?
No. M70.962 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- M70.962
- Description
- Unspecified soft tissue disorder related to use, overuse and pressure, left lower leg
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- 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
M70.962 is the ICD-10-CM diagnosis code for unspecified soft tissue disorder related to use, overuse and pressure, left lower leg. A soft tissue problem in the left lower leg caused by repetitive use, overuse, or pressure, without a more specific diagnosis. M70.962 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other soft tissue disorders (m70-m79).
M70.962 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
Confirm left side is correctly documented in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for M70.962 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm left side is correctly documented in the medical record
- •Consider if shin splints or other specific lower leg conditions can be more precisely coded