ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M62.81

Billable / Specific

Muscle weakness (generalized)

M62
Block
0
Synonyms
548
LCDs
18
Payer Policies
5
Linked CPTs

About ICD-10-CM M62.81

ICD-10-CM code M62.81 represents Muscle weakness (generalized). This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M62). The 2026 edition of ICD-10-CM M62.81 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with M62.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • muscle weakness in sarcopenia (M62.84)

Medicare LCD Coverage for M62.81

Local Coverage Determinations (LCDs) from CMS MACs that list M62.81 as a covered diagnosis.

548 LCDs

Showing top 10 of 548 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M62.81.

18 policies

2 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Preventive Care Services - (A004)
Policy ID: AD_A004

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095

3 Aetna

Bathroom and Toilet Equipment and Supplies
Policy ID: CPB-0429
Therapeutic Chairs
Policy ID: CPB-0434
Spinal Surgery: Laminectomy and Fusion
Policy ID: CPB-0743

CPT Codes Commonly Billed with M62.81

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

5 linkages
  • 97110 Therapeutic exercises — back pain, neck pain, joint pain, rotator cuff, knee OA, limb pain, meniscal tear, shoulder injury, ankle sprain, hemiplegia, paraplegia, post joint replacement, muscle weakness Physical Therapy
  • 97140 Manual therapy — back pain, neck pain, joint pain, myalgia, spasm, muscle weakness, impingement, somatic dysfunction, chronic pain, spondylosis Physical Therapy
  • 97161 PT evaluation low complexity — back pain, neck pain, joint pain, rotator cuff, meniscal tear, ankle sprain, limb pain, knee OA, weakness Physical Therapy
  • 97162 PT evaluation moderate complexity — same plus post-fracture, post-replacement, hemiplegia Physical Therapy
  • 97163 PT evaluation high complexity — hemiplegia, paraplegia, post-stroke, MS, Parkinson, TBI, fracture, post-replacement Physical Therapy

Convert M62.81 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M62.81 72887 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M62.81, Billing FAQ

Is ICD-10 code M62.81 billable? +

Yes, M62.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for M62.81? +

Type 1 Excludes (never code together with M62.81): muscle weakness in sarcopenia (M62.84)

What CPT codes are commonly billed with M62.81? +

Procedures frequently paired with M62.81 include: 97110, 97140, 97161, 97162, 97163.

What ICD-9 codes does M62.81 map to? +

Per CMS GEMs, M62.81 maps to ICD-9 codes: 72887. 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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