M76.31 — Iliotibial band syndrome, right leg
M76.31 is a billable, specific ICD-10-CM code for iliotibial band syndrome, right leg. It is valid for submission on a claim.
Excludes2 inherited from the categories above M76.31
Also inherited, and the opposite of Excludes1: these conditions are not part of M76.31, but a patient can have both, so you may code both.
Risk adjustment
M76.31 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
M76.31 is named in 16 Medicare coverage policies — 9 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
M76.31 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 M76.3. If M76.31 is not quite right, the correct code is usually one of these.
Questions about M76.31
- Is M76.31 a billable ICD-10-CM code?
- Yes. M76.31 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M76.31 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).