M61.459 — Other calcification of muscle, unspecified thigh
Is M61.459 billable?
Yes, but M61.459 is an unspecified code. M61.459 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M61.459 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M61.459 — the more specific alternatives are listed below.
More specific alternatives
M61.459 at a glance
| Code | M61.459 |
|---|---|
| Description | Other calcification of muscle, unspecified thigh |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M61.459 group to?
M61.459 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 557Tendonitis, Myositis and Bursitis with MCCmedical
- 558Tendonitis, Myositis and Bursitis without MCCmedical
How is M61.459 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M61.45, the nearest indexed parent of M61.459. Use them to find the family, then select the specific code.
- Calcification › muscle › specified type NEC › pelvic region
- Calcification › muscle › specified type NEC › thigh
Excludes1 — never code together — inherited from M60-M63
The conditions below can never be reported together with M61.459 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from M61.4
The conditions below can never be reported together with M61.459 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M61.459, but a patient may have both at the same time. When documentation supports it, M61.459 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from M60-M63
The conditions below are not part of M61.459, but a patient may have both at the same time. When documentation supports it, M61.459 and the excluded code may both be reported.
- muscular dystrophies and myopathies (G71-G72)
How long has M61.459 existed?
M61.459 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.