ICD-10 M60.076
Billable / Specific CCInfective myositis, right toe(s)
About ICD-10-CM M60.076
ICD-10-CM code M60.076 represents Infective myositis, right toe(s). This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M60). The 2026 edition of ICD-10-CM M60.076 became effective on October 1, 2025.
Coding Tips for M60.076
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
M60.076 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.
Inpatient DRG Impact, CC
codes Infective myositis, right toe(s). As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for M60.076
Local Coverage Determinations (LCDs) from CMS MACs that list M60.076 as a covered diagnosis.
Showing top 10 of 215 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M60.076.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with M60.076
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 M60.076 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 |
|---|---|---|
| M60.076 | 7280 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M60.076
Other codes in section M60-M63 (Disorders of muscles).
ICD-10 M60.076, Billing FAQ
Is ICD-10 code M60.076 billable? +
Yes, M60.076 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is M60.076 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 M60.076 map to? +
Per CMS GEMs, M60.076 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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