M76.9
M76.9: Unspecified enthesopathy, lower limb, excluding foot
Billable / specific codeICD-10-CMunspecified
M76.9 is a billable, specific ICD-10-CM code for unspecified enthesopathy, lower limb, excluding foot. It is valid for submission on a claim.
Check M76.9 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M76.9 is named in 11 Medicare coverage policies: 4 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
- Enthesopathy›lower limb(excluding foot)
Code history
Unchanged in every release from FY2024 to FY2027.