ICDcodes.org
FY2027

M18.4 — Other bilateral secondary osteoarthritis of first carpometacarpal joints

Billable

Is M18.4 billable?

Yes — M18.4 is billable for FY2027. M18.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M18.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

M18.4 at a glance

CodeM18.4
DescriptionOther bilateral secondary osteoarthritis of first carpometacarpal joints
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does M18.4 group to?

M18.4 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 553Bone Diseases and Arthropathies with MCCmedical
  • 554Bone Diseases and Arthropathies without MCCmedical

How is M18.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M18.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Osteoarthritis › secondary › hand joint › first carpometacarpal joint › bilateral

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M18.4, but a patient may have both at the same time. When documentation supports it, M18.4 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from M15-M19

The conditions below are not part of M18.4, but a patient may have both at the same time. When documentation supports it, M18.4 and the excluded code may both be reported.

  • osteoarthritis of spine (M47.-)

How long has M18.4 existed?

M18.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to M18.4?

What other codes are in the M18 family? (6)