M79.606
BillablePain in leg, unspecified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M79.606 an HCC code?
No. M79.606 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
M79.606 is the ICD-10-CM diagnosis code for pain in leg, unspecified. Pain in the leg when the specific side (right or left) is not documented or cannot be determined. M79.606 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).
M79.606 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 documentation does not specify right or left side.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M79.606 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 documentation does not specify right or left side
- •Query the provider if laterality can be determined from clinical notes or imaging reports