M99.05
M99.05: Segmental and somatic dysfunction of pelvic region
Billable / specific codeICD-10-CM
M99.05 is a billable, specific ICD-10-CM code for segmental and somatic dysfunction of pelvic region. It is valid for submission on a claim.
Check M99.05 with the rest of the claim: free scrubberOther codes that can never be billed with M99.05
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M43.5Other recurrent vertebral dislocation
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M99.05 is named in 12 Medicare coverage policies: 5 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
- Dysfunction›somatic›hip
- Dysfunction›somatic›pelvic region
- Dysfunction›somatic›pubic
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M99.0
- M99.00Segmental and somatic dysfunction of head region
- M99.01Segmental and somatic dysfunction of cervical region
- M99.02Segmental and somatic dysfunction of thoracic region
- M99.03Segmental and somatic dysfunction of lumbar region
- M99.04Segmental and somatic dysfunction of sacral region
- M99.06Segmental and somatic dysfunction of lower extremity
- M99.07Segmental and somatic dysfunction of upper extremity
- M99.08Segmental and somatic dysfunction of rib cage
- M99.09Segmental and somatic dysfunction of abdomen and other regions