M79.6 — Pain in limb, hand, foot, fingers and toes
M79.6 is a non-billable header ICD-10-CM code for pain in limb, hand, foot, fingers and toes. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- pain in joint (M25.5-)
Other codes that can never be billed with M79.6
These codes carry an Excludes1 note pointing at M79.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M79.6 alone.
- R52Pain, unspecified
Risk adjustment
M79.6 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.
Code to one of these instead M79.6
7 child codes. Green means billable.
Related codes at this level
Codes that share M79. If M79.6 is not quite right, the correct code is usually one of these.
- M79.0Rheumatism, unspecified
- M79.1Myalgia
- M79.2Neuralgia and neuritis, unspecified
- M79.3Panniculitis, unspecified
- M79.4Hypertrophy of (infrapatellar) fat pad
- M79.5Residual foreign body in soft tissue
- M79.7Fibromyalgia
- M79.ANontraumatic compartment syndrome
- M79.8Other specified soft tissue disorders
- M79.9Soft tissue disorder, unspecified
Questions about M79.6
- Is M79.6 a billable ICD-10-CM code?
- No. M79.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M79.6 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).