M84.86
M84.86 — Other disorders of continuity of bone, tibia and fibula
Non-billable headerICD-10-CM
M84.86 is a non-billable header ICD-10-CM code for other disorders of continuity of bone, tibia and fibula. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M84.86 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 M84.86
5 child codes. Green means billable.
- M84.861Other disorders of continuity of bone, right tibia
- M84.862Other disorders of continuity of bone, left tibia
- M84.863Other disorders of continuity of bone, right fibula
- M84.864Other disorders of continuity of bone, left fibula
- M84.869Other disorders of continuity of bone, unspecified tibia and fibula
Related codes at this level
Codes that share M84.8. If M84.86 is not quite right, the correct code is usually one of these.
- M84.80Other disorders of continuity of bone, unspecified site
- M84.81Other disorders of continuity of bone, shoulder
- M84.82Other disorders of continuity of bone, humerus
- M84.83Other disorders of continuity of bone, ulna and radius
- M84.84Other disorders of continuity of bone, hand
- M84.85Other disorders of continuity of bone, pelvic region and thigh
- M84.87Other disorders of continuity of bone, ankle and foot
- M84.88Other disorders of continuity of bone, other site
Questions about M84.86
- Is M84.86 a billable ICD-10-CM code?
- No. M84.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.86 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).