M26.09
M26.09: Other specified anomalies of jaw size
Billable / specific codeICD-10-CM
M26.09 is a billable, specific ICD-10-CM code for other specified anomalies of jaw size. It is valid for submission on a claim.
Check M26.09 with the rest of the claim: free scrubberOther codes that can never be billed with M26.09
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M26.09 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
- Macrognathia, macrognathism(congenital) (mandibular) (maxillary)
- Micrognathia, micrognathism(congenital) (mandibular) (maxillary)
- Opisthognathism
- Retrusion, premaxilla(developmental)
- Agenesis›jaw
- Agenesis›mandible, maxilla
- Hyperplasia, hyperplastic›jaw
- Hypoplasia, hypoplastic›jaw
- Recession, receding›chin
- Anomaly, anomalous›dentofacial›jaw size›specified type NEC
Code history
Unchanged in every release from FY2024 to FY2027.