M81.6
M81.6: Localized osteoporosis [Lequesne]
Billable / specific codeICD-10-CM
M81.6 is a billable, specific ICD-10-CM code for localized osteoporosis [lequesne]. It is valid for submission on a claim.
Check M81.6 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Sudeck's atrophy (M89.0)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M81.6 is named in 21 Medicare coverage policies: 14 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
- Osteoporosis›Lequesne
- Osteoporosis›localized
Code history
Unchanged in every release from FY2024 to FY2027.