M70.98 — Unspecified soft tissue disorder related to use, overuse and pressure other
Is M70.98 billable?
Yes, but M70.98 is an unspecified code. M70.98 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M70.98 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 M70.98 — the more specific alternatives are listed below.
More specific alternatives
- M70.90Unspecified soft tissue disorder related to use, overuse and pressure of unspecified site
- M70.91Unspecified soft tissue disorder related to use, overuse and pressure of shouldernot billable
- M70.92Unspecified soft tissue disorder related to use, overuse and pressure of upper armnot billable
- M70.93Unspecified soft tissue disorder related to use, overuse and pressure of forearmnot billable
- M70.94Unspecified soft tissue disorder related to use, overuse and pressure of handnot billable
- M70.95Unspecified soft tissue disorder related to use, overuse and pressure of thighnot billable
- M70.96Unspecified soft tissue disorder related to use, overuse and pressure lower legnot billable
- M70.97Unspecified soft tissue disorder related to use, overuse and pressure of ankle and footnot billable
- M70.99Unspecified soft tissue disorder related to use, overuse and pressure multiple sites
M70.98 at a glance
| Code | M70.98 |
|---|---|
| Description | Unspecified soft tissue disorder related to use, overuse and pressure other |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M70.98 group to?
M70.98 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.
- 555Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCCmedical
- 556Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCCmedical
How is M70.98 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M70.98. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Disorder › soft tissue › due to use, overuse and pressure › specified site NEC (of)
Excludes1 — never code together — inherited from M70
The conditions below can never be reported together with M70.98 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- bursitis NOS (M71.9-)
Use additional code — inherited from M70
Report an additional code alongside M70.98 to fully describe the condition. M70.98 is sequenced first.
- external cause code to identify activity causing disorder (Y93.-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M70.98, but a patient may have both at the same time. When documentation supports it, M70.98 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 M70
The conditions below are not part of M70.98, but a patient may have both at the same time. When documentation supports it, M70.98 and the excluded code may both be reported.
How long has M70.98 existed?
M70.98 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.
What other codes are in the M70.9 family? (9)
- M70.90Unspecified soft tissue disorder related to use, overuse and pressure of unspecified site
- M70.91Unspecified soft tissue disorder related to use, overuse and pressure of shouldernot billable
- M70.92Unspecified soft tissue disorder related to use, overuse and pressure of upper armnot billable
- M70.93Unspecified soft tissue disorder related to use, overuse and pressure of forearmnot billable
- M70.94Unspecified soft tissue disorder related to use, overuse and pressure of handnot billable
- M70.95Unspecified soft tissue disorder related to use, overuse and pressure of thighnot billable
- M70.96Unspecified soft tissue disorder related to use, overuse and pressure lower legnot billable
- M70.97Unspecified soft tissue disorder related to use, overuse and pressure of ankle and footnot billable
- M70.99Unspecified soft tissue disorder related to use, overuse and pressure multiple sites