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

ICD-10 M85.822

Billable / Specific

Other specified disorders of bone density and structure, left upper arm

M85
Block
0
Synonyms
259
LCDs
12
Payer Policies
0
Linked CPTs

About ICD-10-CM M85.822

ICD-10-CM code M85.822 represents Other specified disorders of bone density and structure, left upper arm. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M85). The 2026 edition of ICD-10-CM M85.822 became effective on October 1, 2025.

Medicare LCD Coverage for M85.822

Local Coverage Determinations (LCDs) from CMS MACs that list M85.822 as a covered diagnosis.

259 LCDs

Showing top 10 of 259 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97110 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M85.822.

12 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-56798
Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Policy ID: ART-56841

CPT Codes Commonly Billed with M85.822

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

No procedure linkages on file for M85.822

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 M85.822 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
M85.822 73390 10000
M85.822 73399 10000

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

Codes Adjacent To M85.822

Other codes in section M80-M85 (Disorders of bone density and structure).

M80 Osteoporosis with current pathological fracture (non-billable) M80.0 Age-related osteoporosis with current pathological fracture (non-billable) M80.00 Age-related osteoporosis with current pathological fracture, unspecified site (non-billable) M80.01 Age-related osteoporosis with current pathological fracture, shoulder (non-billable) M80.011 Age-related osteoporosis with current pathological fracture, right shoulder (non-billable) M80.012 Age-related osteoporosis with current pathological fracture, left shoulder (non-billable) M80.019 Age-related osteoporosis with current pathological fracture, unspecified shoulder (non-billable) M80.02 Age-related osteoporosis with current pathological fracture, humerus (non-billable) M80.021 Age-related osteoporosis with current pathological fracture, right humerus (non-billable) M80.022 Age-related osteoporosis with current pathological fracture, left humerus (non-billable) M80.029 Age-related osteoporosis with current pathological fracture, unspecified humerus (non-billable) M80.03 Age-related osteoporosis with current pathological fracture, forearm (non-billable) M80.031 Age-related osteoporosis with current pathological fracture, right forearm (non-billable) M80.032 Age-related osteoporosis with current pathological fracture, left forearm (non-billable) M80.039 Age-related osteoporosis with current pathological fracture, unspecified forearm (non-billable) M80.04 Age-related osteoporosis with current pathological fracture, hand (non-billable) M80.041 Age-related osteoporosis with current pathological fracture, right hand (non-billable) M80.042 Age-related osteoporosis with current pathological fracture, left hand (non-billable) M80.049 Age-related osteoporosis with current pathological fracture, unspecified hand (non-billable) M80.05 Age-related osteoporosis with current pathological fracture, femur (non-billable)

ICD-10 M85.822, Billing FAQ

Is ICD-10 code M85.822 billable? +

Yes, M85.822 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does M85.822 map to? +

Per CMS GEMs, M85.822 maps to ICD-9 codes: 73390, 73399. 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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