CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M85.80 Quick jump to specific ICD-10 (CM) Code: M85.812


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Oth disrd of bone density and structure, shoulder

ICD-10 (CM) Code and Descriptor

M85.811 Other specified disorders of bone density and structure, right shoulder

M85811 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
14.09% 30.50% 20.66% 12.32% 6.16% 4.00% 2.82% 2.12% 1.71% 1.13%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M85.811*:

CPT
Description Number of Claims Sum Performed
73030
X-RAY EXAM OF SHOULDER 468 469
77080
DXA BONE DENSITY AXIAL 161 161
97110
THERAPEUTIC EXERCISES 93 149
97116
GAIT TRAINING THERAPY 69 76
G0463
HOSPITAL OUTPT CLINIC VISIT 61 62
97530
THERAPEUTIC ACTIVITIES 60 90
36415
COLL VENOUS BLD VENIPUNCTURE 58 59
97112
NEUROMUSCULAR REEDUCATION 42 54
80053
COMPREHEN METABOLIC PANEL 32 32
85025
COMPLETE CBC W/AUTO DIFF WBC 31 31
73200
CT UPPER EXTREMITY W/O DYE 30 30
73060
X-RAY EXAM OF HUMERUS 26 26
97535
SELF CARE MNGMENT TRAINING 25 52
84443
ASSAY THYROID STIM HORMONE 18 18
82306
VITAMIN D 25 HYDROXY 18 18
80061
LIPID PANEL 18 18
97140
MANUAL THERAPY 1/> REGIONS 16 24
J0897
DENOSUMAB INJECTION 16 960
96372
THER/PROPH/DIAG INJ SC/IM 16 16
83036
HEMOGLOBIN GLYCOSYLATED A1C 15 15

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M85.811 related to the following DRG Codes:

564-566






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.