1. ICD-10-CM Codes
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2. M00-M99
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3. M86-M90
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4. M89-
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5. 2023 ICD-10-CM Diagnosis Code M89.7

2023 ICD-10-CM Diagnosis Code M89.7

Major osseous defect

2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

• M89.7 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• The 2023 edition of ICD-10-CM M89.7 became effective on October 1, 2022.
• This is the American ICD-10-CM version of M89.7 - other international versions of ICD-10 M89.7 may differ.

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Use Additional: M81
  , M87
  , M89.5
  , T84.05
  , C40
  , M80
  ICD-10-CM Diagnosis Code M81

  Osteoporosis without current pathological fracture

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • osteoporosis with current pathological fracture (M80.-)
  • Sudeck's atrophy (M89.0)

  Use Additional

  • code to identify:
  • major osseous defect, if applicable (M89.7-)
  • personal history of (healed) osteoporosis fracture, if applicable (Z87.310)
  ICD-10-CM Diagnosis Code M87

  Osteonecrosis

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Includes

  • avascular necrosis of bone

  Type 1 Excludes

  • juvenile osteonecrosis (M91-M92)
  • osteochondropathies (M90-M93)

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code M89.5

  Osteolysis

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • periprosthetic osteolysis of internal prosthetic joint (T84.05-)

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code T84.05

  Periprosthetic osteolysis of internal prosthetic joint

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code C40

  Malignant neoplasm of bone and articular cartilage of limbs

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)
  ICD-10-CM Diagnosis Code M80

  Osteoporosis with current pathological fracture

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Includes

  • osteoporosis with current fragility fracture

  Type 1 Excludes

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

  Type 2 Excludes

  • personal history of (healed) osteoporosis fracture (Z87.310)

  Use Additional

  • code to identify major osseous defect, if applicable (M89.7-)

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