ICD-10 M60.002
Billable / Specific CCInfective myositis, unspecified arm
About ICD-10-CM M60.002
ICD-10-CM code M60.002 represents Infective myositis, unspecified arm. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M60). The 2026 edition of ICD-10-CM M60.002 became effective on October 1, 2025.
Coding Tips for M60.002
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
M60.002 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under M60.002. Per CMS ICD-10-CM Tabular 2026.
- Infective myositis, upper limb NOS
Inpatient DRG Impact, CC
codes Infective myositis, unspecified arm. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for M60.002
Local Coverage Determinations (LCDs) from CMS MACs that list M60.002 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M60.002.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M60.002 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M60.002
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert M60.002 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M60.002 | 7280 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M60.002
Other codes in section M60-M63 (Disorders of muscles).
ICD-10 M60.002, Billing FAQ
Is ICD-10 code M60.002 billable? +
Yes, M60.002 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to M60.002? +
ICD-10 M60.002 includes: Infective myositis, upper limb NOS.
Is M60.002 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does M60.002 map to? +
Per CMS GEMs, M60.002 maps to ICD-9 codes: 7280. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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