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M85.662

Billable

Other cyst of bone, left lower leg

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is M85.662 an HCC code?

No. M85.662 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

What This Code Means

M85.662 is the ICD-10-CM diagnosis code for other cyst of bone, left lower leg. A fluid-filled cavity or sac that develops in the bone of the left lower leg, typically in the tibia or fibula. M85.662 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of bone density and structure (m80-m85).

M85.662 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Verify left lower leg is documented in the medical record before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M85.662 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify left lower leg is documented in the medical record before assigning this code
  • Note the specific bone affected (tibia vs. fibula) in documentation for clinical clarity

Code Hierarchy

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