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M62.162 vs M62.169

M62.162 (Other rupture of muscle (nontraumatic), left lower leg) compared with M62.169 (Other rupture of muscle (nontraumatic), unspecified lower leg), from the official CMS tabular data. M62.162 and M62.169 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M62.162
Left
Other rupture of muscle (nontraumatic), left lower leg
M62.169
Unspecified
Other rupture of muscle (nontraumatic), unspecified lower leg

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M62.162 and M62.169 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M62.162Other rupture of muscle (nontraumatic), left lower legM62.169Other rupture of muscle (nontraumatic), unspecified lower leg
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionOther rupture of muscle (nontraumatic), left lower leg is a billable ICD-10-CM diagnosis code (M62.162).Other rupture of muscle (nontraumatic), unspecified lower leg is a billable ICD-10-CM diagnosis code (M62.169).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources