M85.461
M85.461: Solitary bone cyst, right tibia and fibula
Billable / specific codeICD-10-CMright
M85.461 is a billable, specific ICD-10-CM code for solitary bone cyst, right tibia and fibula. It is valid for submission on a claim.
Check M85.461 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M85.461
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M85.461
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
M85.461 is named in 7 Medicare coverage policies: 0 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
Code history
Unchanged in every release from FY2024 to FY2027.