M61.129 — Myositis ossificans progressiva, unspecified upper arm
M61.129 is a billable, specific ICD-10-CM code for myositis ossificans progressiva, unspecified upper arm. It is valid for submission on a claim.
Risk adjustment
M61.129 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M61.129 is named in 6 Medicare coverage policies — 0 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- revisedFY2024-FY2026
Myositis ossificans progressiva, unspecified arm → Myositis ossificans progressiva, unspecified upper arm
Related codes at this level
Codes that share M61.12. If M61.129 is not quite right, the correct code is usually one of these.
Questions about M61.129
- Is M61.129 a billable ICD-10-CM code?
- Yes. M61.129 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M61.129 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of muscles (M60-M63).