Is M89.0 a billable ICD-10-CM code?

No. M89.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M89.0 sit in the tabular list?

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

What cannot be coded together with M89.0?

M89.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

M89.0

M89.0 — Algoneurodystrophy

Non-billable headerICD-10-CM

M89.0 is a non-billable header ICD-10-CM code for algoneurodystrophy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

causalgia, lower limb (G57.7-)
causalgia, upper limb (G56.4-)
complex regional pain syndrome II, lower limb (G57.7-)
complex regional pain syndrome II, upper limb (G56.4-)
reflex sympathetic dystrophy (G90.5-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Shoulder-hand syndrome
Sudeck's atrophy

Other codes that can never be billed with M89.0

These codes carry an Excludes1 note pointing at M89.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M89.0 alone.

M81Osteoporosis without current pathological fracture
M81.6Localized osteoporosis [Lequesne]

Risk adjustment

M89.0 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 M89.0

10 child codes. Green means billable.

Related codes at this level

Codes that share M89. If M89.0 is not quite right, the correct code is usually one of these.

Questions about M89.0

Is M89.0 a billable ICD-10-CM code?: No. M89.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M89.0 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).
What cannot be coded together with M89.0?: M89.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.