M70.98

M70.98: Unspecified soft tissue disorder related to use, overuse and pressure other

Billable / specific codeICD-10-CM

M70.98 is a billable, specific ICD-10-CM code for unspecified soft tissue disorder related to use, overuse and pressure other. It is valid for submission on a claim.

Check M70.98 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M70.98

A category’s note binds every code beneath it.

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

bursitis NOS (M71.9-)

Excludes2 inherited from the categories above M70.98

Not part of this code, but both may be coded when both are present.

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 M70.98

Their own Excludes1 notes name this code, so the conflict is not listed above.

M65Synovitis and tenosynovitis
M71Other bursopathies

Risk adjustment

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

Medicare coverage

M70.98 is named in 16 Medicare coverage policies: 4 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which one applies depends on your Medicare contractor.

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