M85.4
Non-Billable

Solitary bone cyst

Non-Billable / Non-Specific Code

What is Solitary bone cyst?

ICD-10-CM M85.4 is the diagnosis code for Solitary bone cyst. This code falls under the section "Disorders of bone density and structure" 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.

â„šī¸ Excludes2

Coding Guidelines for M85.4

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M85.4. If the patient has both, code each condition separately:

  • solitary cyst of jaw (M27.4)

ICD-10-CM Code Hierarchy

Understanding where M85.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
M85.40Solitary bone cyst, unspecified siteBillableM85.41Solitary bone cyst, shoulderNon-BillableM85.411Solitary bone cyst, right shoulderBillableM85.412Solitary bone cyst, left shoulderBillableM85.419Solitary bone cyst, unspecified shoulderBillableM85.42Solitary bone cyst, humerusNon-BillableM85.421Solitary bone cyst, right humerusBillableM85.422Solitary bone cyst, left humerusBillableM85.429Solitary bone cyst, unspecified humerusBillableM85.43Solitary bone cyst, ulna and radiusNon-BillableM85.431Solitary bone cyst, right ulna and radiusBillableM85.432Solitary bone cyst, left ulna and radiusBillableM85.439Solitary bone cyst, unspecified ulna and radiusBillableM85.44Solitary bone cyst, handNon-BillableM85.441Solitary bone cyst, right handBillableM85.442Solitary bone cyst, left handBillableM85.449Solitary bone cyst, unspecified handBillableM85.45Solitary bone cyst, pelvisNon-BillableM85.451Solitary bone cyst, right pelvisBillableM85.452Solitary bone cyst, left pelvisBillableM85.459Solitary bone cyst, unspecified pelvisBillableM85.46Solitary bone cyst, tibia and fibulaNon-BillableM85.461Solitary bone cyst, right tibia and fibulaBillableM85.462Solitary bone cyst, left tibia and fibulaBillableM85.469Solitary bone cyst, unspecified tibia and fibulaBillableM85.47Solitary bone cyst, ankle and footNon-BillableM85.471Solitary bone cyst, right ankle and footBillableM85.472Solitary bone cyst, left ankle and footBillableM85.479Solitary bone cyst, unspecified ankle and footBillableM85.48Solitary bone cyst, other siteBillable
Related Codes

Frequently Asked Questions

Is M85.4 a billable ICD-10-CM code?

No, M85.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M85.4 mean?

M85.4 is the ICD-10-CM diagnosis code for "Solitary bone cyst". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M85.4?

The parent code of M85.4 is M85 ("Other disorders of bone density and structure"). M85.4 provides a more specific classification within this category.

What section is M85.4 in?

M85.4 is located in Section M80-M85 — "Disorders of bone density and structure" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M85.4?

M85.4 has 9 sub-code(s) that provide more specific detail: M85.40, M85.41, M85.42, M85.43, M85.44 and more.

When should I use M85.4?

Use M85.4 when the patients documented diagnosis matches "Solitary bone cyst" 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 Solitary bone cyst?

The ICD-10-CM code for Solitary bone cyst is M85.4.

Can M85.4 be used for primary diagnosis?

No, M85.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M85.4 in?

M85.4 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M85.4 valid for 2026?

Yes, M85.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM85.39Osteitis condensans, multiple sitesNext →M85.40Solitary bone cyst, unspecified site
Code Details
M85.4
Solitary bone cyst
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M80-M85 — Disorders of bone density and structure
2026 ICD-10-CM