M62.1
Header — not billableOther rupture of muscle (nontraumatic)
The ICD-10 code for other rupture of muscle (nontraumatic) is M62.1.
M62.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- traumatic rupture of muscle - see strain of muscle by body region
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- rupture of tendon (M66.-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M62.1
- M62.10Other rupture of muscle (nontraumatic), unspecified site
- M62.11Other rupture of muscle (nontraumatic), shouldernon-billable header
- M62.12Other rupture of muscle (nontraumatic), upper armnon-billable header
- M62.13Other rupture of muscle (nontraumatic), forearmnon-billable header
- M62.14Other rupture of muscle (nontraumatic), handnon-billable header
- M62.15Other rupture of muscle (nontraumatic), thighnon-billable header
- M62.16Other rupture of muscle (nontraumatic), lower legnon-billable header
- M62.17Other rupture of muscle (nontraumatic), ankle and footnon-billable header
- M62.18Other rupture of muscle (nontraumatic), other site
Related codes in this category
- M62.0Separation of muscle (nontraumatic)non-billable header
- M62.2Nontraumatic ischemic infarction of musclenon-billable header
- M62.3Immobility syndrome (paraplegic)
- M62.4Contracture of musclenon-billable header
- M62.5Muscle wasting and atrophy, not elsewhere classifiednon-billable header
- M62.8Other specified disorders of musclenon-billable header
- M62.9Disorder of muscle, unspecified
- M62.1Other rupture of muscle (nontraumatic)non-billable header