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M26.55

Billable

Centric occlusion maximum intercuspation discrepancy

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

What This Code Means

A condition where the upper and lower teeth do not meet properly in the centered position, causing a mismatch between how the jaw closes and where the teeth actually contact.

Coding Tips

  • Document whether this is a primary concern or secondary finding related to orthodontic treatment or other dental work
  • Specify if this is causing functional problems like difficulty chewing or jaw pain to support medical necessity

Excludes 1 — Do NOT code together

  • centric occlusion NOS (M26.59)

Code Hierarchy

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