M89.78
M89.78: Major osseous defect, other site
Billable / specific codeICD-10-CM
M89.78 is a billable, specific ICD-10-CM code for major osseous defect, other site. It is valid for submission on a claim.
Check M89.78 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M89.78 is named in 9 Medicare coverage policies: 2 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
- Defect, defective›major osseous›specified NEC
- Defect, defective›osseous, major›specified NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M89.7
- M89.70Major osseous defect, unspecified site
- M89.71Major osseous defect, shoulder region
- M89.72Major osseous defect, humerus
- M89.73Major osseous defect, forearm
- M89.74Major osseous defect, hand
- M89.75Major osseous defect, pelvic region and thigh
- M89.76Major osseous defect, lower leg
- M89.77Major osseous defect, ankle and foot
- M89.79Major osseous defect, multiple sites