M85.09
M85.09: Fibrous dysplasia (monostotic), multiple sites
Billable / specific codeICD-10-CM
M85.09 is a billable, specific ICD-10-CM code for fibrous dysplasia (monostotic), multiple sites. It is valid for submission on a claim.
Check M85.09 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M85.09
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M85.09
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M85.09 is named in 8 Medicare coverage policies: 1 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
- Dysplasia›fibrous›bone NEC›multiple site
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M85.0
- M85.00Fibrous dysplasia (monostotic), unspecified site
- M85.01Fibrous dysplasia (monostotic), shoulder
- M85.02Fibrous dysplasia (monostotic), upper arm
- M85.03Fibrous dysplasia (monostotic), forearm
- M85.04Fibrous dysplasia (monostotic), hand
- M85.05Fibrous dysplasia (monostotic), thigh
- M85.06Fibrous dysplasia (monostotic), lower leg
- M85.07Fibrous dysplasia (monostotic), ankle and foot
- M85.08Fibrous dysplasia (monostotic), other site