FY2022 · 04-01
Effective from
- Inherited rules changed
Other rupture of muscle (nontraumatic), unspecified site
Billable diagnosis code
CDC/NCHS · FY2022 · 04-01traumatic rupture of muscle - see strain of muscle by body region
nontraumatic hematoma of muscle (M79.81)
rupture of tendon (M66.-)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗Grouping depends on the complete encounter and CMS grouper logic.
2026-04-01 – 2026-09-30
CMS · MS-DRG 43.1First observed · 2015-10-01
Latest recorded change · FY2022 · 04-01
Effective from
Other rupture of muscle (nontraumatic), unspecified site
Billable diagnosis code
CDC/NCHS · FY2022 · 04-01| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | Inherited rules changed |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | Inherited rules changed |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
nontraumatic hematoma of muscle (M79.81)
traumatic rupture of muscle - see strain of muscle by body region
rupture of tendon (M66.-)
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M62.11 | Other rupture of muscle (nontraumatic), shoulder | Category · further specificity required |
| M62.12 | Other rupture of muscle (nontraumatic), upper arm | Category · further specificity required |
| M62.13 | Other rupture of muscle (nontraumatic), forearm | Category · further specificity required |
| M62.14 | Other rupture of muscle (nontraumatic), hand | Category · further specificity required |
| M62.15 | Other rupture of muscle (nontraumatic), thigh | Category · further specificity required |
| M62.16 | Other rupture of muscle (nontraumatic), lower leg | Category · further specificity required |
| M62.17 | Other rupture of muscle (nontraumatic), ankle and foot | Category · further specificity required |
| M62.18 | Other rupture of muscle (nontraumatic), other site | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗