M11.28
M11.28: Other chondrocalcinosis, vertebrae
Billable / specific codeICD-10-CM
M11.28 is a billable, specific ICD-10-CM code for other chondrocalcinosis, vertebrae. It is valid for submission on a claim.
Check M11.28 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M11.28 is named in 7 Medicare coverage policies: 0 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
- Chondrocalcinosis›vertebrae
- Chondrocalcinosis›specified type NEC›vertebrae
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M11.2
- M11.20Other chondrocalcinosis, unspecified site
- M11.21Other chondrocalcinosis, shoulder
- M11.22Other chondrocalcinosis, elbow
- M11.23Other chondrocalcinosis, wrist
- M11.24Other chondrocalcinosis, hand
- M11.25Other chondrocalcinosis, hip
- M11.26Other chondrocalcinosis, knee
- M11.27Other chondrocalcinosis, ankle and foot
- M11.29Other chondrocalcinosis, multiple sites