M26.4
M26.4: Malocclusion, unspecified
Billable / specific codeICD-10-CM
M26.4 is a billable, specific ICD-10-CM code for malocclusion, unspecified. It is valid for submission on a claim.
Check M26.4 with the rest of the claim: free scrubberOther codes that can never be billed with M26.4
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
M26.4 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
- Malocclusion(teeth)
- Anomaly, anomalous›dentofacial›malocclusion
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M26
- M26.0Major anomalies of jaw size
- M26.1Anomalies of jaw-cranial base relationship
- M26.2Anomalies of dental arch relationship
- M26.3Anomalies of tooth position of fully erupted tooth or teeth
- M26.5Dentofacial functional abnormalities
- M26.6Temporomandibular joint disorders
- M26.7Dental alveolar anomalies
- M26.8Other dentofacial anomalies
- M26.9Dentofacial anomaly, unspecified