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M89.759

Billable

Major osseous defect, unspecified pelvic region and thigh

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 the bone structure of the pelvic region or thigh when the specific side is not documented or is bilateral.

Coding Tips

  • •Use this code only when laterality cannot be determined from documentation
  • •Query the provider if documentation indicates a specific side, as M89.751 or M89.752 would be more appropriate

Code Hierarchy

└M89Other disorders of bone└M89.7Major osseous defect└M89.75Major osseous defect, pelvic region and thigh└M89.759Major osseous defect, unspecified pelvic region and thigh
└M89.759Major osseous defect, unspecified pelvic region and thigh

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