M63.88

Disorders of muscle in diseases classified elsewhere, other site

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M60–M63 Disorders of muscles

BillableComplete code, valid to report

M63.88 (also written M6388) is a billable ICD-10-CM diagnosis code for disorders of muscle in diseases classified elsewhere, other site. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 24 codes in category M63 (Disorders of muscle in diseases classified elsewhere). The Alphabetic Index lists it under 3 entries. Its coding notes include a Code first instruction, 15 Excludes1 entries and 11 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from M63 Disorders of muscle in diseases classified elsewhere

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from M63 Disorders of muscle in diseases classified elsewhere
  • myopathy in cysticercosis (B69.81)
  • myopathy in endocrine diseases (G73.7)
  • myopathy in metabolic diseases (G73.7)
  • myopathy in sarcoidosis (D86.87)
  • myopathy in secondary syphilis (A51.49)
  • myopathy in syphilis (late) (A52.78)
  • myopathy in toxoplasmosis (B58.82)
  • myopathy in tuberculosis (A18.09)
Also from chapter/block level (7 notes)
Inherited from M60–M63 Disorders of muscles
  • dermatopolymyositis (M33.-)
  • myopathy in amyloidosis (E85.-)
  • myopathy in polyarteritis nodosa (M30.0)
  • myopathy in rheumatoid arthritis (M05.32)
  • myopathy in scleroderma (M34.-)
  • myopathy in Sjögren's syndrome (M35.03)
  • myopathy in systemic lupus erythematosus (M32.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (11 notes)
Inherited from M60–M63 Disorders of muscles
  • muscular dystrophies and myopathies (G71-G72)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Manifestation code. Report the underlying condition first (see the Code first note).

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 86

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 3 entries