ICD-10 M88.819
Billable / SpecificOsteitis deformans of unspecified shoulder
About ICD-10-CM M88.819
ICD-10-CM code M88.819 represents Osteitis deformans of unspecified shoulder. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M88). The 2026 edition of ICD-10-CM M88.819 became effective on October 1, 2025.
Medicare LCD Coverage for M88.819
Local Coverage Determinations (LCDs) from CMS MACs that list M88.819 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M88.819.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M88.819 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M88.819
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 M88.819 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M88.819 | 7310 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M88.819
Other codes in section M86-M90 (Other osteopathies).
ICD-10 M88.819, Billing FAQ
Is ICD-10 code M88.819 billable? +
Yes, M88.819 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does M88.819 map to? +
Per CMS GEMs, M88.819 maps to ICD-9 codes: 7310. 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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