ICD-10-CM Code M63.811

Disorders of muscle in diseases classified elsewhere, right shoulder

Version 2020 Billable Code Manifestation Diagnoses

Valid for Submission

M63.811 is a billable code used to specify a medical diagnosis of disorders of muscle in diseases classified elsewhere, right shoulder. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M63.811
Short Description:Disorders of muscle in diseases classd elswhr, r shoulder
Long Description:Disorders of muscle in diseases classified elsewhere, right shoulder

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Manifestation diagnoses - Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Diagnostic Related Groups

The ICD-10 code M63.811 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
  • 558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC

Convert M63.811 to ICD-9

  • 728.9 - Muscle/ligament dis NOS (Approximate Flag)

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Disorders of muscles (M60-M63)
      • Disorders of muscle in diseases classified elsewhere (M63)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Muscle Disorders

Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.

Causes of muscle disorders include

  • Injury or overuse, such as sprains or strains, cramps or tendinitis
  • A genetic disorder, such as muscular dystrophy
  • Some cancers
  • Inflammation, such as myositis
  • Diseases of nerves that affect muscles
  • Infections
  • Certain medicines

Sometimes the cause is not known.


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