2019 ICD-10-CM Diagnosis Code M89.5


Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the 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.
  • code to identify major osseous defect, if applicable (
    ICD-10-CM Diagnosis Code M89.7

    Major osseous defect

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    • underlying disease, if known, such as:
    • aseptic necrosis of bone (M87.-)
    • malignant neoplasm of bone (C40.-)
    • osteolysis (M89.5)
    • osteomyelitis (M86.-)
    • osteonecrosis (M87.-)
    • osteoporosis (M80.-, M81.-)
    • periprosthetic osteolysis (T84.05-)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (M89.5) and the excluded code together.
  • periprosthetic osteolysis of internal prosthetic joint (
    ICD-10-CM Diagnosis Code T84.05

    Periprosthetic osteolysis of internal prosthetic joint

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify major osseous defect, if applicable (M89.7-)
The following code(s) above M89.5 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 M89.5:
  • M00-M99
    2019 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    • 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
    2019 ICD-10-CM Range M86-M90

    Other osteopathies

    Type 1 Excludes
    • postprocedural osteopathies (M96.-)
    Other osteopathies
Clinical Information Code History
Code annotations containing back-references to M89.5:
ICD-10-CM Codes Adjacent To M89.5
M89.46 Other hypertrophic osteoarthropathy, lower leg
M89.461 Other hypertrophic osteoarthropathy, right lower leg
M89.462 Other hypertrophic osteoarthropathy, left lower leg
M89.469 Other hypertrophic osteoarthropathy, unspecified lower leg
M89.47 Other hypertrophic osteoarthropathy, ankle and foot
M89.471 Other hypertrophic osteoarthropathy, right ankle and foot
M89.472 Other hypertrophic osteoarthropathy, left ankle and foot
M89.479 Other hypertrophic osteoarthropathy, unspecified ankle and foot
M89.48 …… other site
M89.49 …… multiple sites
M89.5 Osteolysis
M89.50 …… unspecified site
M89.51 Osteolysis, shoulder
M89.511 Osteolysis, right shoulder
M89.512 Osteolysis, left shoulder
M89.519 Osteolysis, unspecified shoulder
M89.52 Osteolysis, upper arm
M89.521 Osteolysis, right upper arm
M89.522 Osteolysis, left upper arm
M89.529 Osteolysis, unspecified upper arm
M89.53 Osteolysis, forearm

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