2017/18 ICD-10-CM Diagnosis Code M90.6

Osteitis deformans in neoplastic diseases

Applicable To
  • Osteitis deformans in malignant neoplasm of bone
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • the neoplasm (
    ICD-10-CM Diagnosis Code C40
    • C40 Malignant neoplasm of bone and articular cart...
      • C40.0 Malignant neoplasm of scapula and long bones ...
        • C40.00 Malignant neoplasm of scapula and long bones ...
        • C40.01 Malignant neoplasm of scapula and long bones ...
        • C40.02 Malignant neoplasm of scapula and long bones ...
      • C40.1 Malignant neoplasm of short bones of upper li...
        • C40.10 Malignant neoplasm of short bones of unspecif...
        • C40.11 Malignant neoplasm of short bones of right up...
        • C40.12 Malignant neoplasm of short bones of left upp...
      • C40.2 Malignant neoplasm of long bones of lower lim...
        • C40.20 Malignant neoplasm of long bones of unspecifi...
        • C40.21 Malignant neoplasm of long bones of right low...
        • C40.22 Malignant neoplasm of long bones of left lowe...
      • C40.3 Malignant neoplasm of short bones of lower li...
        • C40.30 Malignant neoplasm of short bones of unspecif...
        • C40.31 Malignant neoplasm of short bones of right lo...
        • C40.32 Malignant neoplasm of short bones of left low...
      • C40.8 Malignant neoplasm of overlapping sites of bo...
        • C40.80 Malignant neoplasm of overlapping sites of bo...
        • C40.81 Malignant neoplasm of overlapping sites of bo...
        • C40.82 Malignant neoplasm of overlapping sites of bo...
      • C40.9 Malignant neoplasm of unspecified bones and a...
        • C40.90 Malignant neoplasm of unspecified bones and a...
        • C40.91 Malignant neoplasm of unspecified bones and a...
        • C40.92 Malignant neoplasm of unspecified bones and a...
    C40.-
    ,
    ICD-10-CM Diagnosis Code C41
    • C41 Malignant neoplasm of bone and articular cart...
      • C41.0 Malignant neoplasm of bones of skull and face...
      • C41.1 Malignant neoplasm of mandible
      • C41.2 Malignant neoplasm of vertebral column
      • C41.3 Malignant neoplasm of ribs, sternum and clavi...
      • C41.4 Malignant neoplasm of pelvic bones, sacrum an...
      • C41.9 Malignant neoplasm of bone and articular cart...
    C41.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M90.6. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • osteitis deformans [Paget's disease of bone] (
    ICD-10-CM Diagnosis Code M88
    • M88 Osteitis deformans [Paget's disease of bone]
      • M88.0 Osteitis deformans of skull
      • M88.1 Osteitis deformans of vertebrae
      • M88.8 Osteitis deformans of other bones
        • M88.81 Osteitis deformans of shoulder
          • M88.811 Osteitis deformans of right shoulder
          • M88.812 Osteitis deformans of left shoulder
          • M88.819 Osteitis deformans of unspecified shoulder
        • M88.82 Osteitis deformans of upper arm
          • M88.821 Osteitis deformans of right upper arm
          • M88.822 Osteitis deformans of left upper arm
          • M88.829 Osteitis deformans of unspecified upper arm
        • M88.83 Osteitis deformans of forearm
          • M88.831 Osteitis deformans of right forearm
          • M88.832 Osteitis deformans of left forearm
          • M88.839 Osteitis deformans of unspecified forearm
        • M88.84 Osteitis deformans of hand
          • M88.841 Osteitis deformans of right hand
          • M88.842 Osteitis deformans of left hand
          • M88.849 Osteitis deformans of unspecified hand
        • M88.85 Osteitis deformans of thigh
          • M88.851 Osteitis deformans of right thigh
          • M88.852 Osteitis deformans of left thigh
          • M88.859 Osteitis deformans of unspecified thigh
        • M88.86 Osteitis deformans of lower leg
          • M88.861 Osteitis deformans of right lower leg
          • M88.862 Osteitis deformans of left lower leg
          • M88.869 Osteitis deformans of unspecified lower leg
        • M88.87 Osteitis deformans of ankle and foot
          • M88.871 Osteitis deformans of right ankle and foot
          • M88.872 Osteitis deformans of left ankle and foot
          • M88.879 Osteitis deformans of unspecified ankle and f...
        • M88.88 Osteitis deformans of other bones
        • M88.89 Osteitis deformans of multiple sites
      • M88.9 Osteitis deformans of unspecified bone
    M88.-
    )
The following code(s) above M90.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M90.6:
  • M00-M99
    2018 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M86-M90
    2018 ICD-10-CM Range M86-M90

    Other osteopathies

    Type 1 Excludes
    • postprocedural osteopathies (M96.-)
    Other osteopathies
  • M90
    ICD-10-CM Diagnosis Code M90

    Osteopathies in diseases classified elsewhere

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • osteochondritis, osteomyelitis, and osteopathy (in):
    • cryptococcosis (B45.3)
    • diabetes mellitus (E08-E13 with .69-)
    • gonococcal (A54.43)
    • neurogenic syphilis (A52.11)
    • renal osteodystrophy (N25.0)
    • salmonellosis (A02.24)
    • secondary syphilis (A51.46)
    • syphilis (late) (A52.77)
    Osteopathies in diseases classified elsewhere
Code History
Code annotations containing back-references to M90.6:
ICD-10-CM Codes Adjacent To M90.6
M90.56 Osteonecrosis in diseases classified elsewhere, lower leg
M90.561 Osteonecrosis in diseases classified elsewhere, right lower leg
M90.562 Osteonecrosis in diseases classified elsewhere, left lower leg
M90.569 Osteonecrosis in diseases classified elsewhere, unspecified lower leg
M90.57 Osteonecrosis in diseases classified elsewhere, ankle and foot
M90.571 Osteonecrosis in diseases classified elsewhere, right ankle and foot
M90.572 Osteonecrosis in diseases classified elsewhere, left ankle and foot
M90.579 Osteonecrosis in diseases classified elsewhere, unspecified ankle and foot
M90.58 …… other site
M90.59 …… multiple sites
M90.6 Osteitis deformans in neoplastic diseases
M90.60 …… unspecified site
M90.61 Osteitis deformans in neoplastic diseases, shoulder
M90.611 Osteitis deformans in neoplastic diseases, right shoulder
M90.612 Osteitis deformans in neoplastic diseases, left shoulder
M90.619 Osteitis deformans in neoplastic diseases, unspecified shoulder
M90.62 Osteitis deformans in neoplastic diseases, upper arm
M90.621 Osteitis deformans in neoplastic diseases, right upper arm
M90.622 Osteitis deformans in neoplastic diseases, left upper arm
M90.629 Osteitis deformans in neoplastic diseases, unspecified upper arm
M90.63 Osteitis deformans in neoplastic diseases, forearm

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.