M62.1
Non-Billable

Other rupture of muscle (nontraumatic)

Non-Billable / Non-Specific Code

What is Other rupture of muscle (nontraumatic)?

ICD-10-CM M62.1 is the diagnosis code for Other rupture of muscle (nontraumatic). This code falls under the section "Disorders of muscles" 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.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for M62.1

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M62.1. They are mutually exclusive:

  • traumatic rupture of muscle - see strain of muscle by body region

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M62.1. If the patient has both, code each condition separately:

  • rupture of tendon (M66.-)

ICD-10-CM Code Hierarchy

Understanding where M62.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
M62.10Other rupture of muscle (nontraumatic), unspecified siteBillableM62.11Other rupture of muscle (nontraumatic), shoulderNon-BillableM62.111Other rupture of muscle (nontraumatic), right shoulderBillableM62.112Other rupture of muscle (nontraumatic), left shoulderBillableM62.119Other rupture of muscle (nontraumatic), unspecified shoulderBillableM62.12Other rupture of muscle (nontraumatic), upper armNon-BillableM62.121Other rupture of muscle (nontraumatic), right upper armBillableM62.122Other rupture of muscle (nontraumatic), left upper armBillableM62.129Other rupture of muscle (nontraumatic), unspecified upper armBillableM62.13Other rupture of muscle (nontraumatic), forearmNon-BillableM62.131Other rupture of muscle (nontraumatic), right forearmBillableM62.132Other rupture of muscle (nontraumatic), left forearmBillableM62.139Other rupture of muscle (nontraumatic), unspecified forearmBillableM62.14Other rupture of muscle (nontraumatic), handNon-BillableM62.141Other rupture of muscle (nontraumatic), right handBillableM62.142Other rupture of muscle (nontraumatic), left handBillableM62.149Other rupture of muscle (nontraumatic), unspecified handBillableM62.15Other rupture of muscle (nontraumatic), thighNon-BillableM62.151Other rupture of muscle (nontraumatic), right thighBillableM62.152Other rupture of muscle (nontraumatic), left thighBillableM62.159Other rupture of muscle (nontraumatic), unspecified thighBillableM62.16Other rupture of muscle (nontraumatic), lower legNon-BillableM62.161Other rupture of muscle (nontraumatic), right lower legBillableM62.162Other rupture of muscle (nontraumatic), left lower legBillableM62.169Other rupture of muscle (nontraumatic), unspecified lower legBillableM62.17Other rupture of muscle (nontraumatic), ankle and footNon-BillableM62.171Other rupture of muscle (nontraumatic), right ankle and footBillableM62.172Other rupture of muscle (nontraumatic), left ankle and footBillableM62.179Other rupture of muscle (nontraumatic), unspecified ankle and footBillableM62.18Other rupture of muscle (nontraumatic), other siteBillable
Related Codes

Frequently Asked Questions

Is M62.1 a billable ICD-10-CM code?

No, M62.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M62.1 mean?

M62.1 is the ICD-10-CM diagnosis code for "Other rupture of muscle (nontraumatic)". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M62.1?

The parent code of M62.1 is M62 ("Other disorders of muscle"). M62.1 provides a more specific classification within this category.

What section is M62.1 in?

M62.1 is located in Section M60-M63 — "Disorders of muscles" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M62.1?

M62.1 has 9 sub-code(s) that provide more specific detail: M62.10, M62.11, M62.12, M62.13, M62.14 and more.

When should I use M62.1?

Use M62.1 when the patients documented diagnosis matches "Other rupture of muscle (nontraumatic)" 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 Other rupture of muscle (nontraumatic)?

The ICD-10-CM code for Other rupture of muscle (nontraumatic) is M62.1.

Can M62.1 be used for primary diagnosis?

No, M62.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M62.1 in?

M62.1 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M62.1?

Type 1 Excludes for M62.1 include: traumatic rupture of muscle - see strain of muscle by body region.

Is M62.1 valid for 2026?

Yes, M62.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM62.08Separation of muscle (nontraumatic), other siteNext →M62.10Other rupture of muscle (nontraumatic), unspecified site
Code Details
M62.1
Other rupture of muscle (nontraumatic)
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M60-M63 — Disorders of muscles
2026 ICD-10-CM