M83.5
M83.5: Other drug-induced osteomalacia in adults
Billable / specific codeICD-10-CM
M83.5 is a billable, specific ICD-10-CM code for other drug-induced osteomalacia in adults. It is valid for submission on a claim.
Check M83.5 with the rest of the claim: free scrubberUse additional code
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Excludes1 inherited from the categories above M83.5
A category’s note binds every code beneath it.
Other codes that can never be billed with M83.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M83.5 is named in 14 Medicare coverage policies: 7 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
- Osteomalacia›adult›drug-induced NEC
Code history
Unchanged in every release from FY2024 to FY2027.