M99.87

M99.87: Other biomechanical lesions of upper extremity

Billable / specific codeICD-10-CM

M99.87 is a billable, specific ICD-10-CM code for other biomechanical lesions of upper extremity. It is valid for submission on a claim.

Check M99.87 with the rest of the claim: free scrubber

Other codes that can never be billed with M99.87

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

M99.87 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

Lesion›biomechanical›specified type NEC›acromioclavicular
Lesion›biomechanical›specified type NEC›sternoclavicular
Lesion›biomechanical›specified type NEC›upper extremity

Code history

Unchanged in every release from FY2024 to FY2027.