Is M26.0 a billable ICD-10-CM code?

No. M26.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M26.0 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Dentofacial anomalies [including malocclusion] and other disorders of jaw (M26-M27).

What cannot be coded together with M26.0?

M26.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

M26.0

M26.0 — Major anomalies of jaw size

Non-billable headerICD-10-CM

M26.0 is a non-billable header ICD-10-CM code for major anomalies of jaw size. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

acromegaly (E22.0)
Robin's syndrome (Q87.0)

Risk adjustment

M26.0 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 M26.0

9 child codes. Green means billable.

Related codes at this level

Codes that share M26. If M26.0 is not quite right, the correct code is usually one of these.

Questions about M26.0

Is M26.0 a billable ICD-10-CM code?: No. M26.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M26.0 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Dentofacial anomalies [including malocclusion] and other disorders of jaw (M26-M27).
What cannot be coded together with M26.0?: M26.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.