Is M65.0 a billable ICD-10-CM code?

No. M65.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M65.0 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of synovium and tendon (M65-M67).

M65.0

M65.0 — Abscess of tendon sheath

Non-billable headerICD-10-CM

M65.0 is a non-billable header ICD-10-CM code for abscess of tendon sheath. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B96) to identify bacterial agent.

Risk adjustment

M65.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M65.0

9 child codes. Green means billable.

Related codes at this level

Codes that share M65. If M65.0 is not quite right, the correct code is usually one of these.

Questions about M65.0

Is M65.0 a billable ICD-10-CM code?: No. M65.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M65.0 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of synovium and tendon (M65-M67).