M79.1
Non-Billable

Myalgia

Non-Billable / Non-Specific Code

What is Myalgia?

ICD-10-CM M79.1 is the diagnosis code for Myalgia. This code falls under the section "Other soft tissue disorders" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for M79.1

✅ This Code Includes

  • Myofascial pain syndrome

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M79.1. They are mutually exclusive:

  • fibromyalgia (M79.7)
  • myositis (M60.-)

ICD-10-CM Code Hierarchy

Understanding where M79.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
M79.10Myalgia, unspecified siteBillableM79.11Myalgia of mastication muscleBillableM79.12Myalgia of auxiliary muscles, head and neckBillableM79.18Myalgia, other siteBillable
Related Codes

Frequently Asked Questions

Is M79.1 a billable ICD-10-CM code?

No, M79.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M79.1 mean?

M79.1 is the ICD-10-CM diagnosis code for "Myalgia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M79.1?

The parent code of M79.1 is M79 ("Other and unspecified soft tissue disorders, not elsewhere classified"). M79.1 provides a more specific classification within this category.

What section is M79.1 in?

M79.1 is located in Section M70-M79 — "Other soft tissue disorders" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M79.1?

M79.1 has 4 sub-code(s) that provide more specific detail: M79.10, M79.11, M79.12, M79.18.

When should I use M79.1?

Use M79.1 when the patients documented diagnosis matches "Myalgia" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Myalgia?

The ICD-10-CM code for Myalgia is M79.1.

Can M79.1 be used for primary diagnosis?

No, M79.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M79.1 in?

M79.1 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M79.1?

Type 1 Excludes for M79.1 include: fibromyalgia (M79.7); myositis (M60.-).

Is M79.1 valid for 2026?

Yes, M79.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM79.0Rheumatism, unspecifiedNext →M79.10Myalgia, unspecified site
Code Details
M79.1
Myalgia
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M70-M79 — Other soft tissue disorders
2026 ICD-10-CM