M36.1
M36.1: Arthropathy in neoplastic disease
Billable / specific codeICD-10-CM
M36.1 is a billable, specific ICD-10-CM code for arthropathy in neoplastic disease. It is valid for submission on a claim.
Check M36.1 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
Other codes that can never be billed with M36.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M14Arthropathies in other diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M36.1 is named in 7 Medicare coverage policies: 0 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
Code history
Unchanged in every release from FY2024 to FY2027.