Excludes1 pair

M60- vs M79.5

M60 and M79.5 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on M79.5
foreign body granuloma of soft tissue (M60.2-)
M60

Myositis

Not billable
Chapter 13
Diseases of the musculoskeletal system and connective tissue
Section
M60-M63
M79.5

Residual foreign body in soft tissue

Billable
Chapter 13
Diseases of the musculoskeletal system and connective tissue
Section
M70-M79
Indexed under
  • Foreign body › in › soft tissue (residual)
  • Foreign body › old or residual › soft tissue (residual)
  • Foreign body › retained › soft tissue

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027