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M26.57

Billable

Lack of posterior occlusal support

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

What This Code Means

A condition where the back teeth do not provide adequate support when biting down, which can affect chewing function and put stress on the front teeth.

Coding Tips

  • Document the extent of missing or inadequate posterior support (partial or complete)
  • Note if this is related to tooth loss, wear, or developmental abnormality

Code Hierarchy

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