M85.4 — Solitary bone cyst
Is M85.4 billable?
No — M85.4 is a non-billable header code. M85.4 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 23 billable codes beneath M85.4.
Billable codes under this header
- M85.40Solitary bone cyst, unspecified site
- M85.48Solitary bone cyst, other site
- M85.411Solitary bone cyst, right shoulder
- M85.412Solitary bone cyst, left shoulder
- M85.419Solitary bone cyst, unspecified shoulder
- M85.421Solitary bone cyst, right humerus
- M85.422Solitary bone cyst, left humerus
- M85.429Solitary bone cyst, unspecified humerus
- M85.431Solitary bone cyst, right ulna and radius
- M85.432Solitary bone cyst, left ulna and radius
- M85.439Solitary bone cyst, unspecified ulna and radius
- M85.441Solitary bone cyst, right hand
- M85.442Solitary bone cyst, left hand
- M85.449Solitary bone cyst, unspecified hand
- M85.451Solitary bone cyst, right pelvis
- M85.452Solitary bone cyst, left pelvis
- M85.459Solitary bone cyst, unspecified pelvis
- M85.461Solitary bone cyst, right tibia and fibula
- M85.462Solitary bone cyst, left tibia and fibula
- M85.469Solitary bone cyst, unspecified tibia and fibula
- M85.471Solitary bone cyst, right ankle and foot
- M85.472Solitary bone cyst, left ankle and foot
- M85.479Solitary bone cyst, unspecified ankle and foot
M85.4 at a glance
| Code | M85.4 |
|---|---|
| Description | Solitary bone cyst |
| 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 M85.4, but a patient may have both at the same time. When documentation supports it, M85.4 and the excluded code may both be reported.
- solitary cyst of jaw (M27.4)
Excludes1 — never code together — inherited from M85
The conditions below can never be reported together with M85.4 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 M85.4, but a patient may have both at the same time. When documentation supports it, M85.4 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)
What codes fall under M85.4? (9)
- M85.40Solitary bone cyst, unspecified site
- M85.41Solitary bone cyst, shouldernot billable
- M85.42Solitary bone cyst, humerusnot billable
- M85.43Solitary bone cyst, ulna and radiusnot billable
- M85.44Solitary bone cyst, handnot billable
- M85.45Solitary bone cyst, pelvisnot billable
- M85.46Solitary bone cyst, tibia and fibulanot billable
- M85.47Solitary bone cyst, ankle and footnot billable
- M85.48Solitary bone cyst, other site
How long has M85.4 existed?
M85.4 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.
What other codes are in the M85 family? (8)
- M85.0Fibrous dysplasia (monostotic)not billable
- M85.1Skeletal fluorosisnot billable
- M85.2Hyperostosis of skull
- M85.3Osteitis condensansnot 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