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M89.769

Billable

Major osseous defect, unspecified lower leg

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 lower leg 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 M89.761 or M89.762 would be more appropriate

Code Hierarchy

└M89Other disorders of bone└M89.7Major osseous defect└M89.76Major osseous defect, lower leg└M89.769Major osseous defect, unspecified lower leg
└M89.769Major osseous defect, unspecified lower leg

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