Is ICD-10-CM code M76 billable?

No, M76 (Enthesopathies, lower limb, excluding foot) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code M76 belong to?

M76 belongs to Chapter 13 of the ICD-10-CM tabular list: M00–M99 (Diseases of the Musculoskeletal System and Connective Tissue).

M76Not billable, use a more specific code below

Enthesopathies, lower limb, excluding foot

In Other soft tissue disorders (M70-M79), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue

34 billable codes under M76: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes2: not included here, code separately if applicable

bursitis due to use, overuse and pressure (M70.-)
enthesopathies of ankle and foot (M77.5-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.

Site and laterality (page 60)
Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
Coding of Pathologic Fractures (page 61)
Osteoporosis (page 61)
Multisystem Inflammatory Syndrome (page 62)

Read Section I.C.13 (page 60)

All codes under M76

M76 can't be used on a claim. Pick a billable code below; grey headings group them.

M76 MS-DRGs

As the principal diagnosis, all 34 billable codes under M76 group to MS-DRG 557 or 558 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to M76

Notes on these codes point to M76.

M70 Excludes2: enthesopathies (M76-M77)
M71 Excludes1: enthesopathies (M76-M77)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Connective Tissue Disorders

Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.

Hip Injuries and Disorders

Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis. This makes your hips very stable and allows for a wide range of motion. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse, or falling can sometimes lead to hip injuries such as:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.