M62.20 — Nontraumatic ischemic infarction of muscle, unspecified site
Is M62.20 billable?
Yes, but M62.20 is an unspecified code. M62.20 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M62.20 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 M62.20 — the more specific alternatives are listed below.
More specific alternatives
- M62.21Nontraumatic ischemic infarction of muscle, shouldernot billable
- M62.22Nontraumatic ischemic infarction of muscle, upper armnot billable
- M62.23Nontraumatic ischemic infarction of muscle, forearmnot billable
- M62.24Nontraumatic ischemic infarction of muscle, handnot billable
- M62.25Nontraumatic ischemic infarction of muscle, thighnot billable
- M62.26Nontraumatic ischemic infarction of muscle, lower legnot billable
- M62.27Nontraumatic ischemic infarction of muscle, ankle and footnot billable
- M62.28Nontraumatic ischemic infarction of muscle, other site
M62.20 at a glance
| Code | M62.20 |
|---|---|
| Description | Nontraumatic ischemic infarction of muscle, unspecified site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M62.20 group to?
M62.20 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 M62.20 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M62.20. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Infarct, infarction › muscle
Excludes1 — never code together — inherited from M60-M63
The conditions below can never be reported together with M62.20 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 M62
The conditions below can never be reported together with M62.20 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 M62.2
The conditions below can never be reported together with M62.20 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 M62.20, but a patient may have both at the same time. When documentation supports it, M62.20 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 M62.20, but a patient may have both at the same time. When documentation supports it, M62.20 and the excluded code may both be reported.
- muscular dystrophies and myopathies (G71-G72)
Excludes2 — not included here — inherited from M62
The conditions below are not part of M62.20, but a patient may have both at the same time. When documentation supports it, M62.20 and the excluded code may both be reported.
- nontraumatic hematoma of muscle (M79.81)
How long has M62.20 existed?
M62.20 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.
What other codes are in the M62.2 family? (8)
- M62.21Nontraumatic ischemic infarction of muscle, shouldernot billable
- M62.22Nontraumatic ischemic infarction of muscle, upper armnot billable
- M62.23Nontraumatic ischemic infarction of muscle, forearmnot billable
- M62.24Nontraumatic ischemic infarction of muscle, handnot billable
- M62.25Nontraumatic ischemic infarction of muscle, thighnot billable
- M62.26Nontraumatic ischemic infarction of muscle, lower legnot billable
- M62.27Nontraumatic ischemic infarction of muscle, ankle and footnot billable
- M62.28Nontraumatic ischemic infarction of muscle, other site