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M26.01

Billable

Maxillary hyperplasia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The upper jaw (maxilla) is abnormally enlarged or overdeveloped, which can affect bite alignment and facial appearance.

Coding Tips

  • Document whether this is a developmental condition or acquired; this code typically refers to developmental anomalies
  • Coordinate with orthodontic or surgical documentation if treatment is being considered

Code Hierarchy

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