M72.4
M72.4: Pseudosarcomatous fibromatosis
Billable / specific codeICD-10-CM
M72.4 is a billable, specific ICD-10-CM code for pseudosarcomatous fibromatosis. It is valid for submission on a claim.
Check M72.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nodular fasciitis
Other codes that can never be billed with M72.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M72.8Other fibroblastic disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M72.4 is named in 12 Medicare coverage policies: 5 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
- Fasciitis›nodular
- Fibromatosis›pseudosarcomatous(proliferative) (subcutaneous)
Code history
Unchanged in every release from FY2024 to FY2027.