M77.9
M77.9: Enthesopathy, unspecified
Billable / specific codeICD-10-CM
M77.9 is a billable, specific ICD-10-CM code for enthesopathy, unspecified. It is valid for submission on a claim.
Check M77.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bone spur NOS
- Capsulitis NOS
- Periarthritis NOS
- Tendinitis NOS
Excludes1 inherited from the categories above M77.9
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M77.9
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M77.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M67Other disorders of synovium and tendon
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M77.9 is named in 7 Medicare coverage policies: 0 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(peripheral)
Code history
Unchanged in every release from FY2024 to FY2027.