M89.411
BillableOther hypertrophic osteoarthropathy, right shoulder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M89.411 an HCC code?
No. M89.411 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
M89.411 is the ICD-10-CM diagnosis code for other hypertrophic osteoarthropathy, right shoulder. Abnormal bone thickening and joint swelling affecting the right shoulder, often associated with chronic systemic conditions. M89.411 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).
M89.411 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.
Confirm right shoulder involvement is documented before assigning this code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M89.411 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm right shoulder involvement is documented before assigning this code
- •Investigate for underlying causes such as chronic lung disease, cyanotic heart disease, or malignancy