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M89.729

Billable

Major osseous defect, unspecified 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 upper arm bone (humerus) when the specific side is not documented or is bilateral.

Coding Tips

  • This unspecified code should be used sparingly; always attempt to determine and document laterality for more precise coding.
  • If bilateral involvement is present, code both M89.721 and M89.722 rather than using the unspecified code.

Code Hierarchy

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