M85.18

M85.18: Skeletal fluorosis, other site

Billable / specific codeICD-10-CM

M85.18 is a billable, specific ICD-10-CM code for skeletal fluorosis, other site. It is valid for submission on a claim.

Check M85.18 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M85.18

A category’s note binds every code beneath it.

Written on M85: Other disorders of bone density and structure

osteogenesis imperfecta (Q78.0)
osteopetrosis (Q78.2)
osteopoikilosis (Q78.8)
polyostotic fibrous dysplasia (Q78.1)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

M85.18 is named in 12 Medicare coverage policies: 5 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

Fluorosis›skeletal›neck
Fluorosis›skeletal›rib
Fluorosis›skeletal›skull
Fluorosis›skeletal›specified site NEC
Fluorosis›skeletal›vertebra

Code history

Unchanged in every release from FY2024 to FY2027.