Is M88.86 a billable ICD-10-CM code?

No. M88.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M88.86 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).

M88.86

M88.86 — Osteitis deformans of lower leg

Non-billable headerICD-10-CM

M88.86 is a non-billable header ICD-10-CM code for osteitis deformans of lower leg. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M88.86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M88.86

3 child codes. Green means billable.

M88.861Osteitis deformans of right lower leg
M88.862Osteitis deformans of left lower leg
M88.869Osteitis deformans of unspecified lower leg

Related codes at this level

Codes that share M88.8. If M88.86 is not quite right, the correct code is usually one of these.

M88.81Osteitis deformans of shoulder
M88.82Osteitis deformans of upper arm
M88.83Osteitis deformans of forearm
M88.84Osteitis deformans of hand
M88.85Osteitis deformans of thigh
M88.87Osteitis deformans of ankle and foot
M88.88Osteitis deformans of other bones
M88.89Osteitis deformans of multiple sites

Questions about M88.86

Is M88.86 a billable ICD-10-CM code?: No. M88.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M88.86 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).