M67.85
Non-Billable

Is M67.85 Billable?

No — This is a non-billable / non-specific code. Use a more specific sub-code for billing and reimbursement.

Other specified disorders of synovium and tendon, hip

Billable Alternatives 5 found
M67.851
Other specified disorders of synovium, right hip
Billable
M67.852
Other specified disorders of synovium, left hip
Billable
M67.853
Other specified disorders of tendon, right hip
Billable
M67.854
Other specified disorders of tendon, left hip
Billable
M67.859
Other specified disorders of synovium and tendon, unspecified hip
Billable

Understanding Billable vs Non-Billable Codes

ICD-10-CM codes are classified as either billable/specific or non-billable/non-specific. Billable codes can be used on insurance claims for reimbursement. Non-billable codes are typically parent or header codes that require a more specific sub-code for actual billing.

When a code is non-billable, always look for its child codes (sub-codes) which provide the necessary specificity for reimbursement. Using a non-billable code on a claim may result in denial or delayed payment.

About Billable Status

Billable status indicates whether a code can be used for reimbursement purposes. Non-billable codes are typically header or parent codes that require a more specific sub-code for actual billing and claims. Always verify with the latest payer guidelines.