ICD-10-CM · Other

M60.08

Infective myositis at a site not captured by the more specific M60.0x subcodes — covers muscle infections in axial, trunk, and other body regions outside the named extremity locations.

Verified May 8, 2026 · 6 sources ↓

Status
Billable
Chapter
13
Related CPT
5
Region
Other
Drawn from CDCICD10DataAAPCIcdcodes

Documentation tips

What should appear in the chart to support M60.08.

Source · Editorial brief grounded in 6 cited references ↓

  • Name the specific muscle or muscle group involved (e.g., lumbar paraspinal, psoas, intercostal) — 'other site' is a valid code but the medical record must justify why no lateralized extremity subcode applies.
  • Always document the confirmed or suspected causative organism; the tabular requires a B95–B97 companion code, and payers can deny without it.
  • Record diagnostic evidence supporting infection: positive culture results, purulent drainage from muscle, elevated inflammatory markers (CRP, ESR, WBC), or imaging findings (MRI signal change consistent with myositis or abscess).
  • If the infection followed trauma, surgery, or an injection, document the initiating event so an external cause code can be appended.
  • Distinguish infective myositis from inflammatory/autoimmune myositis in the clinical note — the word 'infectious' or 'bacterial' should appear explicitly to justify M60.08 over M60.8 or M33.-.

Related CPT procedures

Procedure codes commonly billed with M60.08. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

Common coding pitfalls

The recurring mistakes coders make with M60.08 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Omitting the required B95–B97 organism code — M60.08 cannot stand alone when the pathogen is known or suspected; the parent M60.0 carries a mandatory 'Use additional code' instruction.
  • Using M60.08 for inclusion body myositis — that diagnosis maps exclusively to G72.41, which is an Excludes2 condition under M60.
  • Defaulting to M60.08 when a lateralized extremity subcode exists — if the affected muscle is in the shoulder, upper arm, forearm, hand, thigh, lower leg, or foot, a more specific M60.0xx code is required.
  • Confusing M60.08 (infective, other site) with M60.09 (infective, multiple sites) — use M60.09 only when two or more distinct non-adjacent sites are documented as infected.
  • Coding M60.08 without supporting lab or imaging documentation when the record only states 'muscle pain' — myalgia codes (M79.1x) are the correct landing point absent confirmed infection.

Clinical context

Source · Editorial summary grounded in 6 cited references ↓

M60.08 is the correct code when documentation confirms an infectious or suppurative process involving skeletal muscle at a site that does not match any of the lateralized extremity subcodes under M60.0 (shoulders, upper arms, forearms, hands, thighs, lower legs, ankles/feet). Classic real-world examples include abscess of the paraspinal muscles, psoas abscess with muscular involvement, and infective myositis of the trunk or chest wall. The ICD-10-CM index directs 'Abscess > Muscle' to infective myositis, making M60.08 the appropriate landing code when the affected muscle is axial or otherwise unspecified by site.

A mandatory 'Use additional code' instruction at the M60.0 parent level requires a secondary B95–B97 code to identify the causative organism (e.g., B95.61 for MRSA, B96.20 for unspecified E. coli). Failing to add that companion code is an audit flag and leaves payer records incomplete. If an external cause initiated the infection (e.g., penetrating injury, surgical wound), append the relevant external cause code per Chapter 20 guidelines.

M60.08 groups to MS-DRG 557 (Tendonitis, myositis and bursitis with MCC) or 558 (without MCC) under MS-DRG v43.0. Inclusion body myositis is explicitly excluded from M60 entirely — use G72.41 for that diagnosis. Do not confuse M60.08 with M60.09 (infective myositis, multiple sites) or M60.8 (other myositis, non-infective).

Sibling codes

Other billable codes under M60.0 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 6 cited references ↓

01What does 'other site' mean in M60.08?
'Other site' means the infected muscle is not in any of the named anatomical locations covered by M60.01–M60.07 (shoulder, upper arm, forearm, hand, thigh, lower leg, ankle/foot). Axial muscles — paraspinal, psoas, trunk, chest wall — are the most common clinical examples that land here.
02Is a companion organism code always required with M60.08?
Yes. The M60.0 parent carries a 'Use additional code (B95–B97)' instruction. Assign the appropriate B-code to identify the infectious agent (e.g., B95.61 for MRSA, B96.1 for Klebsiella). If the organism is unknown, use B97.89 or the closest applicable code — do not leave M60.08 unaccompanied when infection is the documented diagnosis.
03Can M60.08 be used for a psoas or paraspinal muscle abscess?
Yes. The ICD-10-CM Alphabetic Index directs 'Abscess > Muscle' to infective myositis. Since psoas and paraspinal muscles are not covered by the extremity-specific subcodes, M60.08 is the appropriate code. Document the muscle by name in the clinical record.
04How does M60.08 differ from M60.09?
M60.08 is for infective myositis at a single 'other' (axial/trunk) site. M60.09 is for infective myositis at multiple sites simultaneously. Use M60.09 only when the record explicitly documents involvement of two or more distinct, non-adjacent sites.
05What MS-DRGs does M60.08 map to?
M60.08 groups to MS-DRG 557 (Tendonitis, myositis and bursitis with MCC) or 558 (without MCC) under MS-DRG v43.0. The MCC distinction affects reimbursement, so comorbid conditions qualifying as MCCs should be coded and sequenced correctly.
06Is inclusion body myositis ever coded with M60.08?
No. Inclusion body myositis is explicitly excluded from the entire M60 category via an Excludes2 note. Use G72.41 for inclusion body myositis regardless of the site involved.
07Should an external cause code be added to M60.08?
When an external event (penetrating injury, post-surgical wound, injection site) is the source of the infection, append the applicable external cause code from Chapter 20 following M60.08 and the organism code. This is instructed at the musculoskeletal chapter level and supports medical necessity documentation.

Mira AI Scribe

Mira's AI scribe captures the muscle group name and anatomical region, organism identified on culture or suspected clinically, imaging findings (MRI or ultrasound confirming intramuscular abscess or edema), lab values supporting active infection, and any preceding event (trauma, injection, surgery). This ensures the mandatory B95–B97 organism code is flagged at the point of documentation, preventing audit exposure from an unaccompanied M60.08.

See how Mira captures M60.08 documentation

Related ICD-10 codes

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