M67.869 — Other specified disorders of synovium and tendon, unspecified knee
Is M67.869 billable?
Yes, but M67.869 is an unspecified code. M67.869 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M67.869 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M67.869 — the more specific alternatives are listed below.
M67.869 at a glance
| Code | M67.869 |
|---|---|
| Description | Other specified disorders of synovium and tendon, unspecified knee |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M67.869 group to?
M67.869 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.
- 557Tendonitis, Myositis and Bursitis with MCCmedical
- 558Tendonitis, Myositis and Bursitis without MCCmedical
How is M67.869 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M67.86, the nearest indexed parent of M67.869. Use them to find the family, then select the specific code.
- Disorder › synovium › specified type NEC › knee (of)
- Disorder › tendon › specified type NEC › knee (of)
Excludes1 — never code together — inherited from M67
The conditions below can never be reported together with M67.869 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M67.869, but a patient may have both at the same time. When documentation supports it, M67.869 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)
How long has M67.869 existed?
M67.869 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.