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M26.11

Billable

Maxillary asymmetry

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 asymmetrical, meaning one side is noticeably different in size or position compared to the other side.

Coding Tips

  • •Document whether the asymmetry is unilateral or bilateral and which side is affected when available
  • •This code is specific to maxillary asymmetry; do not use for mandibular asymmetry (use M26.12 instead)

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