M85.88

M85.88: Other specified disorders of bone density and structure, other site

Billable / specific codeICD-10-CM

M85.88 is a billable, specific ICD-10-CM code for other specified disorders of bone density and structure, other site. It is valid for submission on a claim.

Check M85.88 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M85.88

A category’s note binds every code beneath it.

Written on M85.8: Other specified disorders of bone density and structure

diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)
osteosclerosis congenita (Q77.4)
osteosclerosis fragilitas (generalista) (Q78.2)
osteosclerosis myelofibrosis (D75.81)

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

M85.88 is named in 20 Medicare coverage policies: 13 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

Disorder›bone›density and structure›specified type NEC›neck
Disorder›bone›density and structure›specified type NEC›rib
Disorder›bone›density and structure›specified type NEC›skull
Disorder›bone›density and structure›specified type NEC›vertebra

Code history

Unchanged in every release from FY2024 to FY2027.