Coding and coverage · ICD-10-CM

M62

M62.1 Other rupture of muscle (nontraumatic)

Not billable (header)Chapter 13

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

  • M62.10 Other rupture of muscle (nontraumatic), unspecified site
  • M62.11 Other rupture of muscle (nontraumatic), shoulderHeader
  • M62.12 Other rupture of muscle (nontraumatic), upper armHeader
  • M62.13 Other rupture of muscle (nontraumatic), forearmHeader
  • M62.14 Other rupture of muscle (nontraumatic), handHeader
  • M62.15 Other rupture of muscle (nontraumatic), thighHeader
  • M62.16 Other rupture of muscle (nontraumatic), lower legHeader
  • M62.17 Other rupture of muscle (nontraumatic), ankle and footHeader
  • M62.18 Other rupture of muscle (nontraumatic), other site

Instructional notes

Chapter 13

Excludes2Not included here: the patient may have both; report both when both are present.
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

M62

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Excludes2Not included here: the patient may have both; report both when both are present.
  • nontraumatic hematoma of muscle (M79.81)

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • traumatic rupture of muscle - see strain of muscle by body region
Excludes2Not included here: the patient may have both; report both when both are present.
  • rupture of tendon (M66.-)

Chapter 13: Diseases of the musculoskeletal system and connective tissue · M60-M79 Soft tissue disorders (M60-M79)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.