M11.85
M11.85 — Other specified crystal arthropathies, hip
Non-billable headerICD-10-CM
M11.85 is a non-billable header ICD-10-CM code for other specified crystal arthropathies, hip. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M11.85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M11.85
3 child codes. Green means billable.
Related codes at this level
Codes that share M11.8. If M11.85 is not quite right, the correct code is usually one of these.
- M11.80Other specified crystal arthropathies, unspecified site
- M11.81Other specified crystal arthropathies, shoulder
- M11.82Other specified crystal arthropathies, elbow
- M11.83Other specified crystal arthropathies, wrist
- M11.84Other specified crystal arthropathies, hand
- M11.86Other specified crystal arthropathies, knee
- M11.87Other specified crystal arthropathies, ankle and foot
- M11.88Other specified crystal arthropathies, vertebrae
- M11.89Other specified crystal arthropathies, multiple sites
Questions about M11.85
- Is M11.85 a billable ICD-10-CM code?
- No. M11.85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M11.85 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).