M27.2

M27.2: Inflammatory conditions of jaws

Billable / specific codeICD-10-CM

M27.2 is a billable, specific ICD-10-CM code for inflammatory conditions of jaws. It is valid for submission on a claim.

Check M27.2 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

osteonecrosis of jaw due to drug (M87.180)

Use additional code

Add a secondary code to capture the detail described below.

code (W88-W90, X39.0) to identify radiation, if radiation-induced

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Osteitis of jaw(s)
Osteomyelitis (neonatal) jaw(s)
Osteoradionecrosis jaw(s)
Periostitis jaw(s)
Sequestrum of jaw bone

Risk adjustment

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

Medicare coverage

M27.2 is named in 8 Medicare coverage policies: 1 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

Osteoradionecrosis, jaw(acute) (chronic) (lower) (suppurative) (upper)
Abscess›jaw(bone) (lower) (upper)
Abscess›malar
Abscess›maxilla, maxillary
Disease, diseased›Magitot's
Empyema›maxilla, maxillary
Infection, infected, infective›jaw(bone) (lower) (upper)
Infection, infected, infective›maxilla, maxillary
Inflammation, inflamed, inflammatory›jaw(acute) (bone) (chronic) (lower) (suppurative) (upper)
Inflammation, inflamed, inflammatory›maxilla, maxillary
Necrosis, necrotic›jaw
Osteitis›jaw(acute) (chronic) (lower) (suppurative) (upper)

Code history

Unchanged in every release from FY2024 to FY2027.