M26.5

M26.5: Dentofacial functional abnormalities

Non-billable headerICD-10-CM

M26.5 is a non-billable header ICD-10-CM code for dentofacial functional abnormalities. 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.

bruxism (F45.8)
teeth-grinding NOS (F45.8)

Other codes that can never be billed with M26.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

M26.55Centric occlusion maximum intercuspation discrepancy
Q18Other congenital malformations of face and neck
Q38Other congenital malformations of tongue, mouth and pharynx
Q67.4Other congenital deformities of skull, face and jaw
Q75Other congenital malformations of skull and face bones

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M26.5

9 child codes. Green means billable.