ICD-10 M62.5
Non-Billable HeaderMuscle wasting and atrophy, not elsewhere classified
About ICD-10-CM M62.5
ICD-10-CM code M62.5 represents Muscle wasting and atrophy, not elsewhere classified. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M62). The 2026 edition of ICD-10-CM M62.5 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under M62.5. Per CMS ICD-10-CM Tabular 2026.
- Disuse atrophy NEC
Type 1 Excludes
Pure excludes, these codes can never be coded together with M62.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- neuralgic amyotrophy (G54.5)
- progressive muscular atrophy (G12.21)
- sarcopenia (M62.84)
Type 2 Excludes
Not included here, the excluded code is not part of M62.5, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- pelvic muscle wasting (N81.84)
Medicare LCD Coverage for M62.5
Local Coverage Determinations (LCDs) from CMS MACs that list M62.5 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 M62.5.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M62.5 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M62.5
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.
Codes Adjacent To M62.5
Other codes in section M60-M63 (Disorders of muscles).
ICD-10 M62.5, Billing FAQ
Is ICD-10 code M62.5 billable? +
No, M62.5 is a non-billable header code. Use a more specific child code from block M62 when submitting claims.
What other names or terms map to M62.5? +
ICD-10 M62.5 includes: Disuse atrophy NEC.
What codes are Type 1 Excludes for M62.5? +
Type 1 Excludes (never code together with M62.5): neuralgic amyotrophy (G54.5); progressive muscular atrophy (G12.21); sarcopenia (M62.84)
What codes are Type 2 Excludes for M62.5? +
Type 2 Excludes (may be coded together when both conditions exist): pelvic muscle wasting (N81.84)
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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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