M26.25
M26.25: Anomalies of interarch distance
Billable / specific codeICD-10-CM
M26.25 is a billable, specific ICD-10-CM code for anomalies of interarch distance. It is valid for submission on a claim.
Check M26.25 with the rest of the claim: free scrubberOther codes that can never be billed with M26.25
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
M26.25 is named in 9 Medicare coverage policies: 2 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
- Anomaly, anomalous›distance, interarch(excessive) (inadequate)
- Anomaly, anomalous›interarch distance(excessive) (inadequate)
Code history
Unchanged in every release from FY2024 to FY2027.