ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M27.8

Billable / Specific

Other specified diseases of jaws

M27
Block
5
Synonyms
144
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM M27.8

ICD-10-CM code M27.8 represents Other specified diseases of jaws. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M27). The 2026 edition of ICD-10-CM M27.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M27.8. Per CMS ICD-10-CM Tabular 2026.

  • Cherubism
  • Exostosis
  • Fibrous dysplasia
  • Unilateral condylar hyperplasia
  • Unilateral condylar hypoplasia

Type 1 Excludes

Pure excludes, these codes can never be coded together with M27.8. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • jaw pain (R68.84)

Medicare LCD Coverage for M27.8

Local Coverage Determinations (LCDs) from CMS MACs that list M27.8 as a covered diagnosis.

144 LCDs

Showing top 10 of 144 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21121 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21145 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21138 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21244 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21209 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21089 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21249 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 30462 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21182 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M27.8.

2 policies

2 Medicare

Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with M27.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for M27.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert M27.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M27.8 52681 10000
M27.8 52689 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M27.8, Billing FAQ

Is ICD-10 code M27.8 billable? +

Yes, M27.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to M27.8? +

ICD-10 M27.8 includes: Cherubism; Exostosis; Fibrous dysplasia, and 2 more clinical synonyms.

What codes are Type 1 Excludes for M27.8? +

Type 1 Excludes (never code together with M27.8): jaw pain (R68.84)

What ICD-9 codes does M27.8 map to? +

Per CMS GEMs, M27.8 maps to ICD-9 codes: 52681, 52689. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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