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v1.0.0
ICD-10 Guide
DiagnosesIntercostal Muscles Spasm

Intercostal Muscles Spasm

ICD-10 Coding for Intercostal Muscle Spasm(M62.838, R07.82)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Intercostal Muscles Spasm?
Essential facts and insights about Intercostal Muscle Spasm

Key Clinical Considerations:

  • Sudden sharp pain in the chest or side, often worsened by movement or breathing
  • Muscle tenderness upon palpation in the intercostal region
  • Possible history of recent physical activity or trauma

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's history of symptoms and onset
  • Physical examination findings including pain location and severity
  • Assessment of any underlying conditions or contributing factors

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use M62.830 for intercostal muscle spasm; consider additional codes for related conditions.
  • Common errors: Failing to document the specific location of pain or not linking to a recent activity.

Code Exclusions

Important Exclusions

  • Rib fractures, costochondritis, pleurisy
  • Alternative codes: M62.831 (muscle spasm, unspecified site) may be considered if location is not specified.

Related ICD-10 Codes

Primary Codes
M62.830
Muscle spasm of the intercostal muscles
Ancillary Codes
M79.1
J98.89
Differential Codes
S29.012A
R07.89

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Patients experiencing acute chest pain, athletes, individuals with recent physical exertion
  • Emergency departments, urgent care centers

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the patient's symptoms, physical exam findings, and any relevant history.

Billing considerations?

Ensure accurate coding to reflect the diagnosis and any associated treatments.