M63.86 Disorders of muscle in diseases classified elsewhere, lower leg

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Disorders of muscle in diseases classified elsewhere, lower leg is M63.86 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
M60-M63: Disorders of muscles (M60-M63)
Category M63
33 codes (24 billable)
FY2026 Status
Stable since FY2024

Official Coding Guidelines

Osteoporosis without pathological fracture (M81)

Category M81, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past. For patients with a history of osteoporosis fractures, status code Z87.310, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.1
Osteoporosis with current pathological fracture (M80)

Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

Parent Code

M63 Disorders of muscle in diseases classified elsewhere

More Specific Codes

Related Codes in M63

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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