M76.9 — Unspecified enthesopathy, lower limb, excluding foot
Is M76.9 billable?
Yes, but M76.9 is an unspecified code. M76.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M76.9 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 M76.9 — the more specific alternatives are listed below.
More specific alternatives
- M76.0Gluteal tendinitisnot billable
- M76.1Psoas tendinitisnot billable
- M76.2Iliac crest spurnot billable
- M76.3Iliotibial band syndromenot billable
- M76.4Tibial collateral bursitis [Pellegrini-Stieda]not billable
- M76.5Patellar tendinitisnot billable
- M76.6Achilles tendinitisnot billable
- M76.7Peroneal tendinitisnot billable
M76.9 at a glance
| Code | M76.9 |
|---|---|
| Description | Unspecified enthesopathy, lower limb, excluding foot |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M76.9 group to?
M76.9 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 M76.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M76.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Enthesopathy › lower limb (peripheral)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M76.9, but a patient may have both at the same time. When documentation supports it, M76.9 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 M76
The conditions below are not part of M76.9, but a patient may have both at the same time. When documentation supports it, M76.9 and the excluded code may both be reported.
How long has M76.9 existed?
M76.9 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 M76.9?
What other codes are in the M76 family? (9)
- M76.0Gluteal tendinitisnot billable
- M76.1Psoas tendinitisnot billable
- M76.2Iliac crest spurnot billable
- M76.3Iliotibial band syndromenot billable
- M76.4Tibial collateral bursitis [Pellegrini-Stieda]not billable
- M76.5Patellar tendinitisnot billable
- M76.6Achilles tendinitisnot billable
- M76.7Peroneal tendinitisnot billable
- M76.8Other specified enthesopathies of lower limb, excluding footnot billable