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M79.A29 ICD-10-CM Code: Nontraumatic compartment syndrome of unspecified lower extremity

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other soft tissue disorders (M70-M79)

M79.A29

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Nontraumatic compartment syndrome of unspecified lower extremity

A serious condition where pressure builds up in the muscles of an unspecified leg, potentially cutting off blood flow and damaging tissue, without being caused by an injury.

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
M79.ANontraumatic compartment syndrome
M79.A2Nontraumatic compartment syndrome of lower extremity
M79.A29Nontraumatic compartment syndrome of unspecified lower extremity

Inclusion Terms

Official
  • Nontraumatic compartment syndrome of hip, buttock, thigh, leg, foot, and toes

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M79.A29 in this effective period.

Related Child Codes

Official
M79.A21Nontraumatic compartment syndrome of right lower extremity
M79.A22Nontraumatic compartment syndrome of left lower extremity

Includes

Official

ICD-10-CM does not list Includes notes for M79.A29 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M79.A29 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M79.A29 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M79.A29 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M79.A29 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Specify the laterality (right vs. left) when documented; use M79.A21 for right or M79.A22 for left if available
This is a medical emergency requiring immediate intervention; ensure acute presentation is documented

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 M79.A29 an HCC code?

No. M79.A29 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
M79.A29
Description
Nontraumatic compartment syndrome of unspecified lower extremity
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

M79.A29 is the ICD-10-CM diagnosis code for nontraumatic compartment syndrome of unspecified lower extremity. A serious condition where pressure builds up in the muscles of an unspecified leg, potentially cutting off blood flow and damaging tissue, without being caused by an injury. M79.A29 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.A29 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.

Specify the laterality (right vs. left) when documented; use M79.A21 for right or M79.A22 for left if available.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M79.A29 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Specify the laterality (right vs. left) when documented; use M79.A21 for right or M79.A22 for left if available
  • This is a medical emergency requiring immediate intervention; ensure acute presentation is documented

Child Codes

Code Hierarchy

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