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M79.7

Billable

Fibromyalgia

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

What This Code Means

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and often sleep disturbances affecting muscles and soft tissues throughout the body.

Coding Tips

  • •Fibromyalgia is a chronic condition; ensure documentation supports the diagnosis with typical symptoms like widespread pain and fatigue
  • •Do not use this code for localized pain; fibromyalgia involves multiple body areas

Code Hierarchy

└M79Other and unspecified soft tissue disorders, not elsewhere classified└M79.7Fibromyalgia
└M79.7Fibromyalgia

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