M89.712
M89.712 — Major osseous defect, left shoulder region
Billable / specific codeICD-10-CMleft
M89.712 is a billable, specific ICD-10-CM code for major osseous defect, left shoulder region. It is valid for submission on a claim.
Risk adjustment
M89.712 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.
Medicare coverage
M89.712 is named in 8 Medicare coverage policies — 2 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Related codes at this level
Codes that share M89.71. If M89.712 is not quite right, the correct code is usually one of these.
Questions about M89.712
- Is M89.712 a billable ICD-10-CM code?
- Yes. M89.712 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M89.712 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).