Is M84.85 a billable ICD-10-CM code?

No. M84.85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M84.85 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of bone density and structure (M80-M85).

M84.85

M84.85 — Other disorders of continuity of bone, pelvic region and thigh

Non-billable headerICD-10-CM

M84.85 is a non-billable header ICD-10-CM code for other disorders of continuity of bone, pelvic region and thigh. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M84.85 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.

Code to one of these instead M84.85

3 child codes. Green means billable.

Related codes at this level

Codes that share M84.8. If M84.85 is not quite right, the correct code is usually one of these.

Questions about M84.85

Is M84.85 a billable ICD-10-CM code?: No. M84.85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M84.85 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of bone density and structure (M80-M85).