M27.8

M27.8: Other specified diseases of jaws

Billable / specific codeICD-10-CM

M27.8 is a billable, specific ICD-10-CM code for other specified diseases of jaws. It is valid for submission on a claim.

Check M27.8 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

jaw pain (R68.84)

Inclusion terms

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

Cherubism
Exostosis
Fibrous dysplasia
Unilateral condylar hyperplasia
Unilateral condylar hypoplasia

Risk adjustment

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

Medicare coverage

M27.8 is named in 9 Medicare coverage policies: 2 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

Cherubism
Enostosis
Exostosis›jaw(bone)
Fistula›palate(hard)
Hyperplasia, hyperplastic›unilateral condylar
Hypertrophy, hypertrophic›palate(hard)
Hypoplasia, hypoplastic›unilateral condylar
Deformity›palate›acquired
Disease, diseased›jaw›specified NEC
Dysplasia›fibrous›jaw
Hyperplasia, hyperplastic›mandible, mandibular›unilateral condylar
Hypoplasia, hypoplastic›mandible, mandibular›unilateral condylar

Code history

Unchanged in every release from FY2024 to FY2027.