M89.759: Major osseous defect, unspecified pelvic region and thigh
Major osseous defect, unspecified pelvic region and thigh
Quick Clinical & Billing Summary
What is ICD-10-CM code M89.759? M89.759 represents Major osseous defect, unspecified pelvic region and thigh. Under official CDC guidelines, this code is billable and specific for claim submission.
Code Hierarchy & Classification
Clinical Guidance & Documentation Standards
Associated Procedures & Medicare RVU Reimbursement
Open RVU Calculator →Typical outpatient and office evaluation procedures frequently billed alongside diagnosis M89.759:
| CPT/HCPCS | Description | Work RVU | Non-Facility Fee | Facility Fee |
|---|---|---|---|---|
| 99213 | Office/outpatient visit, established patient, 20-29 minutes (Low MDM) | 1.30 | $91.69 | $66.79 |
| 99214 | Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) | 1.92 | $133.61 | $100.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) | 0.17 | $18.34 | $12.44 |
CPT Modifier & Billing Rules
Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.
Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.
Frequently Asked Questions about M89.759
Is M89.759 a billable ICD-10 code?
Yes, M89.759 is a valid, billable and specific ICD-10-CM code. It can be reported as a primary or secondary diagnosis on medical claims.
What is the ICD-10 code for Major osseous defect, unspecified pelvic region and thigh?
The primary ICD-10-CM code for Major osseous defect, unspecified pelvic region and thigh is M89.759.
What is the effective date of the current M89.759 code?
The code is active for fiscal year FY2027, effective starting 2026-10-01.
Preparing for the Certified Professional Coder Exam?
Practice ICD-10-CM code identification, sequencing rules, and guideline application with the full CPC Exam Blueprint course.