M91.0 — Juvenile osteochondrosis of pelvis
M91.0 is a billable, specific ICD-10-CM code for juvenile osteochondrosis of pelvis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Osteochondrosis (juvenile) of acetabulum
- Osteochondrosis (juvenile) of iliac crest [Buchanan]
- Osteochondrosis (juvenile) of ischiopubic synchondrosis [van Neck]
- Osteochondrosis (juvenile) of symphysis pubis [Pierson]
Risk adjustment
M91.0 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.
Medicare coverage
M91.0 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
How M91.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M91.0.
- Buchanan's disease or osteochondrosis
- Pierson's disease or osteochondrosis
- Van Neck's disease or osteochondrosis
- Osteochondrosis›acetabulum(juvenile)
- Osteochondrosis›Buchanan's
- Osteochondrosis›ilium, iliac crest(juvenile)
- Osteochondrosis›ischiopubic synchondrosis
- Osteochondrosis›pelvis(juvenile)
- Osteochondrosis›Pierson's
- Osteochondrosis›symphysis pubis(juvenile)
- Osteochondrosis›van Neck's
- Synchondrosis›ischiopubic
Related codes at this level
Codes that share M91. If M91.0 is not quite right, the correct code is usually one of these.
Questions about M91.0
- Is M91.0 a billable ICD-10-CM code?
- Yes. M91.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M91.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Chondropathies (M91-M94).