M85.612 — Other cyst of bone, left shoulder
Is M85.612 billable?
Yes — M85.612 is billable for FY2027. M85.612 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M85.612 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M85.612 at a glance
| Code | M85.612 |
|---|---|
| Description | Other cyst of bone, left shoulder |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M85.612 group to?
M85.612 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.
- 553Bone Diseases and Arthropathies with MCCmedical
- 554Bone Diseases and Arthropathies without MCCmedical
How is M85.612 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M85.61, the nearest indexed parent of M85.612. Use them to find the family, then select the specific code.
- Cyst › boneNEC › specified type NEC › shoulder (colloid) (mucous) (simple) (retention)
Excludes1 — never code together — inherited from M85
The conditions below can never be reported together with M85.612 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from M85.6
The conditions below can never be reported together with M85.612 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 M85.612, but a patient may have both at the same time. When documentation supports it, M85.612 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 M85.612 existed?
M85.612 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.