2025 ICD-10-CM code M79.10
Myalgia, unspecified site. This code represents muscle pain in an unspecified location.
Medical necessity for using this code is established by the presence of generalized muscle pain without a specific location identified. The documentation should support the diagnosis and the need for treatment.
Clinicians diagnose myalgia based on patient history and physical exam, palpating for trigger points or tender areas. Treatment may involve physical therapy, massage, analgesics, muscle relaxants, NSAIDs, or corticosteroid injections.
In simple words: This code refers to muscle pain when the doctor doesn't specify the exact location of the pain.
Myalgia refers to muscle pain associated with myofascial pain syndrome. It may occur in one or more muscles, generally due to muscle injury from excessive strain, repetitive motions, or stress.This code is used when the provider does not document the specific site of the myalgia.
Example 1: A patient presents with diffuse muscle pain throughout their body with no specific area identified as the source. The physician documents "myalgia"., A patient reports generalized muscle aches and pains after strenuous exercise. The location of the pain is not specified in the medical record. , A patient complains of muscle pain that is widespread and not localized to any particular region, possibly due to stress. The physician diagnoses "myalgia, unspecified".
The documentation should clearly state "myalgia" without specifying the location of the pain. Any associated symptoms such as stiffness, tenderness, or limited range of motion should also be documented.
- Payment Status: Active
- Specialties:Primary care, physiatry, pain management, orthopedics, rheumatology, chiropractic
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Home, Other Place of Service