M85.862
M85.862: Other specified disorders of bone density and structure, left lower leg
Billable / specific codeICD-10-CMleft
M85.862 is a billable, specific ICD-10-CM code for other specified disorders of bone density and structure, left lower leg. It is valid for submission on a claim.
Check M85.862 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M85.862
A category’s note binds every code beneath it.
Written on M85.8: Other specified disorders of bone density and structure
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M85.862 is named in 18 Medicare coverage policies: 11 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.