Is M89.7 a billable ICD-10-CM code?

No. M89.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M89.7 sit in the tabular list?

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

M89.7

M89.7 — Major osseous defect

Non-billable headerICD-10-CM

M89.7 is a non-billable header ICD-10-CM code for major osseous defect. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

underlying disease, if known, such as:
aseptic necrosis of bone (M87.-)
malignant neoplasm of bone (C40.-)
osteolysis (M89.5-)
osteomyelitis (M86.-)
osteonecrosis (M87.-)
osteoporosis (M80.-, M81.-)
periprosthetic osteolysis (T84.05-)

Risk adjustment

M89.7 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 M89.7

10 child codes. Green means billable.

Related codes at this level

Codes that share M89. If M89.7 is not quite right, the correct code is usually one of these.

Questions about M89.7

Is M89.7 a billable ICD-10-CM code?: No. M89.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M89.7 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).