Is M70.80 a billable ICD-10-CM code?

Yes. M70.80 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M70.80 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).

What cannot be coded together with M70.80?

M70.80 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M70.80 (M70) and apply to it just the same.

M70.80

M70.80 — Other soft tissue disorders related to use, overuse and pressure of unspecified site

Billable / specific codeICD-10-CM

M70.80 is a billable, specific ICD-10-CM code for other soft tissue disorders related to use, overuse and pressure of unspecified site. It is valid for submission on a claim.

Excludes1 inherited from the categories above M70.80

These are not written on M70.80, but they bind it: a note on a category applies to every code beneath it. Billing M70.80 with anything listed here is a denial.

Written on M70 — Soft tissue disorders related to use, overuse and pressure

bursitis NOS (M71.9-)

Excludes2 inherited from the categories above M70.80

Also inherited, and the opposite of Excludes1: these conditions are not part of M70.80, but a patient can have both, so you may code both.

Written on M70 — Soft tissue disorders related to use, overuse and pressure

bursitis of shoulder (M75.5)
enthesopathies (M76-M77)
pressure ulcer (pressure area) (L89.-)

Other codes that can never be billed with M70.80

These codes carry an Excludes1 note pointing at M70.80. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M70.80 alone.

M65Synovitis and tenosynovitis
M71Other bursopathies

Risk adjustment

M70.80 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.

Medicare coverage

M70.80 is named in 12 Medicare coverage policies — 0 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57701Billing and Coding: Trigger Point Injections (TPI)not covered
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

How M70.80 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M70.80.

Disorder›soft tissue›due to use, overuse and pressure›specified type NEC

Code history

M70.80 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M70.8. If M70.80 is not quite right, the correct code is usually one of these.

Questions about M70.80

Is M70.80 a billable ICD-10-CM code?: Yes. M70.80 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M70.80 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).
What cannot be coded together with M70.80?: M70.80 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M70.80 (M70) and apply to it just the same.