M26.629

M26.629: Arthralgia of temporomandibular joint, unspecified side

Billable / specific codeICD-10-CMunspecified

M26.629 is a billable, specific ICD-10-CM code for arthralgia of temporomandibular joint, unspecified side. It is valid for submission on a claim.

Check M26.629 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above M26.629

Not part of this code, but both may be coded when both are present.

Written on M26.6: Temporomandibular joint disorders

current temporomandibular joint dislocation (S03.0)
current temporomandibular joint sprain (S03.4)

Other codes that can never be billed with M26.629

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

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.

Medicare coverage

M26.629 is named in 12 Medicare coverage policies: 0 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A57701Billing and Coding: Trigger Point Injections (TPI)not covered
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

Code history

Unchanged in every release from FY2024 to FY2027.