2027 ICD-10-CM Diagnosis Code M79.12Myalgia of auxiliary muscles, head and neck
ICD-10-CM Codes›M00–M99›M70-M79›M79
- Billable — Valid for Submission
- Not Chronic
M79.12 is a billable ICD-10-CM diagnosis code for myalgia of auxiliary muscles, head and neck. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 555 through 556. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal pain, not low back pain.
Code Identity
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M79.12: its own notes plus those printed at M79.1, M79, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M79.12, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming M79.12: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Myalgia
painful sensation in the muscles.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement M79.12 replaces the following previously assigned code(s):
- M79.1 - Myalgia
Questions About M79.12Overview
What is the ICD-10 code for myalgia of auxiliary muscles, head and neck?
The ICD-10-CM code for myalgia of auxiliary muscles, head and neck is M79.12 (sometimes written as M7912). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is M79.12 (Myalgia) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report myalgia of auxiliary muscles, head and neck on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does M79.12 group to?
When myalgia of auxiliary muscles, head and neck is the principal diagnosis on an inpatient stay, it groups to MS-DRG 555, 556, with relative weights from 0.8210 to 1.2908 depending on complications. Higher weights mean higher Medicare reimbursement.
Can M79.12 be reported with M79.7?
Not as a rule. The Excludes1 note at M79.1, which applies to M79.12, lists "fibromyalgia (M79.7)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).