2024 ICD-10-CM Diagnosis Code M79.10

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Chronic musculoskeletal pain
• Chronic musculoskeletal pain due to disease of nervous system
• Chronic musculoskeletal pain due to persistent inflammation
• Chronic primary musculoskeletal pain
• Diffuse muscle tenderness
• Localized masticatory muscle soreness
• Muscle pain
• Muscle tension pain
• Musculoskeletal pain
• Musculoskeletal tenderness
• Myalgia caused by statin
• Myofascial pain
• Myofascial pain with referral
• Pain on movement of skeletal muscle
• Skeletal muscle tender
• Soreness
• Tenalgia
• Tenderness at muscle insertion
• Viral myalgia

Clinical Information

• Musculoskeletal Pain

  discomfort stemming from muscles, ligaments, tendons, and bones.

• Ligaments

  shiny, flexible bands of fibrous tissue connecting together articular extremities of bones. they are pliant, tough, and inextensile.

• Musculoskeletal Pain

  pain that originates in the bones, muscles, tendons or ligaments.

• Pain Amplification Syndrome|Amplified Musculoskeletal Pain Syndrome|Amplified Musculoskeletal Pain Syndrome|Chronic Widespread Pain|Chronic Widespread Pain

  a condition in which the nerves register normal stimuli (lack of tissue injury) as pain, resulting in feelings of intense pain with even minor sensory input.

• Rheumatologic Disorder|Collagen Disease|Collagen Vascular Disease|Connective Tissue Disease|Inflammatory Rheumatism|Musculoskeletal Pain Disorder|Rheumatic Disease|Rheumatism|Rheumatism|Rheumatologic Disease|collagen disease|rheumatism

  inflammatory and degenerative diseases of connective tissue structures, such as arthritis.

• Bothered by Sore Muscles|Bothered by Muscle Soreness|Have you, during the past week, been bothered by sore muscles

  a question about whether an individual is or was bothered by sore muscles.

• Extent Have Soreness in Mouth|Extent of Soreness in Mouth|Have you had soreness in your mouth

  a question about the extent to which an individual has or had soreness in their mouth.

• FACIT-Searchable Item Library Adult Version - Pain/Soreness/Aches in Some Muscles|FSIL-Pain/Soreness/Aches in Some Muscles|FSIL-Pain/Soreness/Aches in Some Muscles|FSIL0420

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i feel pain, soreness or aches in some of my muscles.

• Feel Pain, Soreness, or Aches in Some Areas of Body|I feel pain, soreness or aches in some areas of my body

  a question about whether an individual feels or felt pain, soreness, or aches in some areas of their body.

• Have Vaginal Soreness|Soreness|Vaginal Soreness

  a question about whether an individual has or had vaginal soreness.

• Have Vulvar Soreness|Soreness|Vulvar Soreness

  a question about whether an individual has or had vulvar soreness.

• KDQOL-36 Version 1 - Bothered by Soreness in Muscles|KDQ1-Bothered by Soreness in Muscles|KDQ1-Bothered by Soreness in Muscles|KDQ117

  kidney disease and quality of life-36 version 1 (kdqol-36 version 1) during the past 4 weeks, to what extent were you bothered by each of the following: soreness in your muscles?

• PHQ Screener Version - Muscle Tension|PHQ03-Muscle Tension/Aches/Soreness|PHQ03-Muscle Tension/Aches/Soreness|PHQ0305D

  patient health questionnaire screener version (phq screener version) over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness?

• Pregnancy Related Breast Soreness|Pregnancy Breast Soreness

  the tenderness of the breasts during pregnancy due to changes in the hormonal levels and increased breast tissue growth.

• Soreness

  a dull achy pain.

M79.10 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

M7910 replaces the following previously assigned ICD-10-CM code(s):

• M79.1 - Myalgia

Patient Education

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 of muscle disorders is unknown.

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019