M26.5
Non-Billable

Dentofacial functional abnormalities

Non-Billable / Non-Specific Code

What is Dentofacial functional abnormalities?

ICD-10-CM M26.5 is the diagnosis code for Dentofacial functional abnormalities. This code falls under the section "Dentofacial anomalies [including malocclusion] and other disorders of jaw" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for M26.5

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M26.5. They are mutually exclusive:

  • bruxism (F45.8)
  • teeth-grinding NOS (F45.8)

ICD-10-CM Code Hierarchy

Understanding where M26.5 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
M26.50Dentofacial functional abnormalities, unspecifiedBillableM26.51Abnormal jaw closureBillableM26.52Limited mandibular range of motionBillableM26.53Deviation in opening and closing of the mandibleBillableM26.54Insufficient anterior guidanceBillableM26.55Centric occlusion maximum intercuspation discrepancyBillableM26.56Non-working side interferenceBillableM26.57Lack of posterior occlusal supportBillableM26.59Other dentofacial functional abnormalitiesBillable
Related Codes

Frequently Asked Questions

Is M26.5 a billable ICD-10-CM code?

No, M26.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M26.5 mean?

M26.5 is the ICD-10-CM diagnosis code for "Dentofacial functional abnormalities". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M26.5?

The parent code of M26.5 is M26 ("Dentofacial anomalies [including malocclusion]"). M26.5 provides a more specific classification within this category.

What section is M26.5 in?

M26.5 is located in Section M26-M27 — "Dentofacial anomalies [including malocclusion] and other disorders of jaw" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M26.5?

M26.5 has 9 sub-code(s) that provide more specific detail: M26.50, M26.51, M26.52, M26.53, M26.54 and more.

When should I use M26.5?

Use M26.5 when the patients documented diagnosis matches "Dentofacial functional abnormalities" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Dentofacial functional abnormalities?

The ICD-10-CM code for Dentofacial functional abnormalities is M26.5.

Can M26.5 be used for primary diagnosis?

No, M26.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M26.5 in?

M26.5 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M26.5?

Type 1 Excludes for M26.5 include: bruxism (F45.8); teeth-grinding NOS (F45.8).

Is M26.5 valid for 2026?

Yes, M26.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM26.4Malocclusion, unspecifiedNext →M26.50Dentofacial functional abnormalities, unspecified
Code Details
M26.5
Dentofacial functional abnormalities
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M26-M27 — Dentofacial anomalies [including malocclusion] and other disorders of jaw
2026 ICD-10-CM