M62.5A0: Muscle wasting and atrophy, not elsewhere classified, back, cervical
M62.5A0, muscle wasting and atrophy, not elsewhere classified, back, cervical, is listed as a covered diagnosis in 7 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including G0299 (Direct skilled nursing services of a registered nurse (rn)…), G0300 (Direct skilled nursing services of a licensed practical…), G0283 (Electrical stimulation (unattended), to one or more areas…). The articles come from 4 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with M62.5A0 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2169 | Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 1 |
| G0255 | Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve | Non-covered by Medicare | Not covered | 4 |
Medicare policy articles listing M62.5A0
- A56679: Billing and Coding: Hospice The Adult Failure To Thrive Syndrome (Palmetto GBA (HHH MAC); 2 Level II codes). LCD with the same title: L34558
- A57307: Billing and Coding: Nerve Conduction Studies and Electromyography (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A57478: Billing and Coding: Nerve Conduction Studies and Electromyography (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A54969: Billing and Coding: Nerve Conduction Studies and Electromyography (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A56619: Billing and Coding: Nerve Conduction Studies and Electromyography (Palmetto GBA (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC); 5 Level II codes). LCD with the same title: L34560
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A); 3 Level II codes). LCD with the same title: L34427
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other M62 diagnoses (Other disorders of muscle)
- M62.5A1 — Muscle wasting and atrophy, not elsewhere classified, back, thoracic
- M62.5A2 — Muscle wasting and atrophy, not elsewhere classified, back…
- M62.511 — Muscle wasting and atrophy, not elsewhere classified, right shoulder
- M62.512 — Muscle wasting and atrophy, not elsewhere classified, left shoulder
- M62.521 — Muscle wasting and atrophy, not elsewhere classified, right upper arm
- M62.522 — Muscle wasting and atrophy, not elsewhere classified, left upper arm
- M62.531 — Muscle wasting and atrophy, not elsewhere classified, right forearm
- M62.532 — Muscle wasting and atrophy, not elsewhere classified, left forearm
- M62.541 — Muscle wasting and atrophy, not elsewhere classified, right hand
- M62.542 — Muscle wasting and atrophy, not elsewhere classified, left hand
- M62.551 — Muscle wasting and atrophy, not elsewhere classified, right thigh
- M62.552 — Muscle wasting and atrophy, not elsewhere classified, left thigh
- M62.561 — Muscle wasting and atrophy, not elsewhere classified, right lower leg
- M62.562 — Muscle wasting and atrophy, not elsewhere classified, left lower leg
- M62.571 — Muscle wasting and atrophy, not elsewhere classified, right ankle…
- M62.572 — Muscle wasting and atrophy, not elsewhere classified, left ankle and…
- M62.58 — Muscle wasting and atrophy, not elsewhere classified, other site
- M62.59 — Muscle wasting and atrophy, not elsewhere classified, multiple sites
- M62.111 — Other rupture of muscle (nontraumatic), right shoulder
- M62.112 — Other rupture of muscle (nontraumatic), left shoulder
- M62.121 — Other rupture of muscle (nontraumatic), right upper arm
- M62.122 — Other rupture of muscle (nontraumatic), left upper arm
- M62.131 — Other rupture of muscle (nontraumatic), right forearm
- M62.132 — Other rupture of muscle (nontraumatic), left forearm
- M62.141 — Other rupture of muscle (nontraumatic), right hand
- M62.142 — Other rupture of muscle (nontraumatic), left hand
- M62.151 — Other rupture of muscle (nontraumatic), right thigh
- M62.152 — Other rupture of muscle (nontraumatic), left thigh
- M62.161 — Other rupture of muscle (nontraumatic), right lower leg
- M62.162 — Other rupture of muscle (nontraumatic), left lower leg
Frequently asked questions
Does Medicare cover M62.5A0 (Muscle wasting and atrophy, not elsewhere classified…)?
Medicare covers items and services, not diagnoses. 7 Medicare billing and coding articles list M62.5A0 as a covered diagnosis for 10 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 M62.5A0?
The Level II codes from the policies most specific to this diagnosis are G0299 (Direct skilled nursing services of a registered nurse (rn)…, 1 article); G0300 (Direct skilled nursing services of a licensed practical…, 1 article); G0283 (Electrical stimulation (unattended), to one or more areas…, 2 articles); G0152 (Services performed by a qualified occupational therapist…, 1 article); G0158 (Services performed by a qualified occupational therapist…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list M62.5A0?
A56679 (Billing and Coding: Hospice The Adult Failure To Thrive Syndrome); A57307 (Billing and Coding: Nerve Conduction Studies and Electromyography); A57478 (Billing and Coding: Nerve Conduction Studies and Electromyography), and 4 more articles.
What is ICD-10-CM code M62.5A0?
M62.5A0 is the ICD-10-CM code for muscle wasting and atrophy, not elsewhere classified, back, cervical, in category M62 (Other disorders of muscle), chapter 13: Diseases of the musculoskeletal system and connective tissue.
Next steps
- Run a reimbursement report for a device billed under G0299
- Watch G0299 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0299
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 13: Diseases of the musculoskeletal system and connective tissue · All diagnoses · HCPCS lookup