M99.19
M99.19: Subluxation complex (vertebral) of abdomen and other regions
Billable / specific codeICD-10-CM
M99.19 is a billable, specific ICD-10-CM code for subluxation complex (vertebral) of abdomen and other regions. It is valid for submission on a claim.
Check M99.19 with the rest of the claim: free scrubberOther codes that can never be billed with M99.19
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
M99.19 is named in 7 Medicare coverage policies: 0 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
- Complex›subluxation(vertebral)
- Complex›subluxation›abdomen
- Complex›subluxation›specified NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M99.1
- M99.10Subluxation complex (vertebral) of head region
- M99.11Subluxation complex (vertebral) of cervical region
- M99.12Subluxation complex (vertebral) of thoracic region
- M99.13Subluxation complex (vertebral) of lumbar region
- M99.14Subluxation complex (vertebral) of sacral region
- M99.15Subluxation complex (vertebral) of pelvic region
- M99.16Subluxation complex (vertebral) of lower extremity
- M99.17Subluxation complex (vertebral) of upper extremity
- M99.18Subluxation complex (vertebral) of rib cage