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M89.722

Billable

Major osseous defect, left humerus

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

What This Code Means

A significant loss or defect in bone structure of the left upper arm bone (humerus), which may result from fracture complications, infection, or surgical intervention.

Coding Tips

  • Verify left-sided laterality in the documentation to ensure accurate coding and prevent claim denials due to laterality errors.
  • If the defect is secondary to a previous fracture, consider linking this code with the appropriate sequela code for better clinical documentation.

Code Hierarchy

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