M02.88: Other reactive arthropathies, vertebrae
M02.88 is a billable, specific ICD-10-CM code for other reactive arthropathies, vertebrae. It is valid for submission on a claim.
Check M02.88 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M02.88
A category’s note binds every code beneath it.
Written on M02: Postinfective and reactive arthropathies
Other codes that can never be billed with M02.88
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M01Direct infections of joint in infectious and parasitic diseases classified elsewhere
Risk adjustment
M02.88 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
M02.88 is named in 10 Medicare coverage policies: 3 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Arthropathy›reactive›specified type NEC›vertebra
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M02.8
- M02.80Other reactive arthropathies, unspecified site
- M02.81Other reactive arthropathies, shoulder
- M02.82Other reactive arthropathies, elbow
- M02.83Other reactive arthropathies, wrist
- M02.84Other reactive arthropathies, hand
- M02.85Other reactive arthropathies, hip
- M02.86Other reactive arthropathies, knee
- M02.87Other reactive arthropathies, ankle and foot
- M02.89Other reactive arthropathies, multiple sites