M26.69
M26.69: Other specified disorders of temporomandibular joint
Billable / specific codeICD-10-CM
M26.69 is a billable, specific ICD-10-CM code for other specified disorders of temporomandibular joint. It is valid for submission on a claim.
Check M26.69 with the rest of the claim: free scrubberOther codes that can never be billed with M26.69
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
M26.69 is named in 10 Medicare coverage policies: 3 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
- Costen's syndrome or complex
- Complex›Costen's
- Dysfunction›temporomandibular(joint)
- Malocclusion›temporomandibular(joint)
- Syndrome›Costen's(complex)
- Derangement›joint›temporomandibular
- Sprain›jaw›old
- Sprain›mandible›old
- Sprain›temporomandibular›old
- Anomaly, anomalous›dentofacial›temporomandibular joint›specified type NEC
- Sprain›meniscus›jaw›old
- Sprain›meniscus›mandible›old
Code history
Unchanged in every release from FY2024 to FY2027.