M85.0 — Fibrous dysplasia (monostotic)
Is M85.0 billable?
No — M85.0 is a non-billable header code. M85.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M85.0.
Billable codes under this header
- M85.00Fibrous dysplasia (monostotic), unspecified site
- M85.08Fibrous dysplasia (monostotic), other site
- M85.09Fibrous dysplasia (monostotic), multiple sites
- M85.011Fibrous dysplasia (monostotic), right shoulder
- M85.012Fibrous dysplasia (monostotic), left shoulder
- M85.019Fibrous dysplasia (monostotic), unspecified shoulder
- M85.021Fibrous dysplasia (monostotic), right upper arm
- M85.022Fibrous dysplasia (monostotic), left upper arm
- M85.029Fibrous dysplasia (monostotic), unspecified upper arm
- M85.031Fibrous dysplasia (monostotic), right forearm
- M85.032Fibrous dysplasia (monostotic), left forearm
- M85.039Fibrous dysplasia (monostotic), unspecified forearm
- M85.041Fibrous dysplasia (monostotic), right hand
- M85.042Fibrous dysplasia (monostotic), left hand
- M85.049Fibrous dysplasia (monostotic), unspecified hand
- M85.051Fibrous dysplasia (monostotic), right thigh
- M85.052Fibrous dysplasia (monostotic), left thigh
- M85.059Fibrous dysplasia (monostotic), unspecified thigh
- M85.061Fibrous dysplasia (monostotic), right lower leg
- M85.062Fibrous dysplasia (monostotic), left lower leg
- M85.069Fibrous dysplasia (monostotic), unspecified lower leg
- M85.071Fibrous dysplasia (monostotic), right ankle and foot
- M85.072Fibrous dysplasia (monostotic), left ankle and foot
- M85.079Fibrous dysplasia (monostotic), unspecified ankle and foot
M85.0 at a glance
| Code | M85.0 |
|---|---|
| Description | Fibrous dysplasia (monostotic) |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of M85.0, but a patient may have both at the same time. When documentation supports it, M85.0 and the excluded code may both be reported.
- fibrous dysplasia of jaw (M27.8)
Excludes1 — never code together — inherited from M85
The conditions below can never be reported together with M85.0 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 M85.0, but a patient may have both at the same time. When documentation supports it, M85.0 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)
What codes fall under M85.0? (10)
- M85.00Fibrous dysplasia (monostotic), unspecified site
- M85.01Fibrous dysplasia (monostotic), shouldernot billable
- M85.02Fibrous dysplasia (monostotic), upper armnot billable
- M85.03Fibrous dysplasia (monostotic), forearmnot billable
- M85.04Fibrous dysplasia (monostotic), handnot billable
- M85.05Fibrous dysplasia (monostotic), thighnot billable
- M85.06Fibrous dysplasia (monostotic), lower legnot billable
- M85.07Fibrous dysplasia (monostotic), ankle and footnot billable
- M85.08Fibrous dysplasia (monostotic), other site
- M85.09Fibrous dysplasia (monostotic), multiple sites
How long has M85.0 existed?
M85.0 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 M85 family? (8)
- M85.1Skeletal fluorosisnot billable
- M85.2Hyperostosis of skull
- M85.3Osteitis condensansnot billable
- M85.4Solitary bone cystnot billable
- M85.5Aneurysmal bone cystnot billable
- M85.6Other cyst of bonenot billable
- M85.8Other specified disorders of bone density and structurenot billable
- M85.9Disorder of bone density and structure, unspecified