October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

M90 Osteopathies in diseases classified elsewhere

All 72 codes in the M90 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

72

Can lead a claim

0

Cannot lead a claim

72

What CMS assigns to M90

None of the 72 codes is assigned a clinical group. None of the 72 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 72.

Code first

CMS grouper convention 130, on M90.50, M90.511, M90.512, M90.519, M90.521, M90.522, M90.529, M90.531, M90.532, M90.539, M90.541, M90.542, M90.549, M90.551, M90.552, M90.559, M90.561, M90.562, M90.569, M90.571, M90.572, M90.579, M90.58, M90.59. Code first:

  • caisson disease (T70.3)
  • hemoglobinopathy (D50-D64)
  • underlying disease, such as:

CMS grouper convention 131, on M90.60, M90.611, M90.612, M90.619, M90.621, M90.622, M90.629, M90.631, M90.632, M90.639, M90.641, M90.642, M90.649, M90.651, M90.652, M90.659, M90.661, M90.662, M90.669, M90.671, M90.672, M90.679, M90.68, M90.69. Code first:

  • the neoplasm (C40.-, C41.-)

CMS grouper convention 132, on M90.80, M90.811, M90.812, M90.819, M90.821, M90.822, M90.829, M90.831, M90.832, M90.839, M90.841, M90.842, M90.849, M90.851, M90.852, M90.859, M90.861, M90.862, M90.869, M90.871, M90.872, M90.879, M90.88, M90.89. Code first:

  • rickets (E55.0)
  • underlying disease, such as:
  • vitamin-D-resistant rickets (E83.31)

Every code in M90

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M90.5 Osteonecrosis in diseases classified elsewhere
M90.50Osteonecrosis in diseases classified elsewhere, unspecified siteCMS: Osteonecrosis in diseases classified elsewhere, unsp siteCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.51 Osteonecrosis in diseases classified elsewhere, shoulder
M90.511Osteonecrosis in diseases classified elsewhere, right shoulderCMS: Osteonecrosis in diseases classd elswhr, right shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.512Osteonecrosis in diseases classified elsewhere, left shoulderCMS: Osteonecrosis in diseases classd elswhr, left shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.519Osteonecrosis in diseases classified elsewhere, unspecified shoulderCMS: Osteonecrosis in diseases classd elswhr, unsp shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.52 Osteonecrosis in diseases classified elsewhere, upper arm
M90.521Osteonecrosis in diseases classified elsewhere, right upper armCMS: Osteonecrosis in diseases classd elswhr, right upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.522Osteonecrosis in diseases classified elsewhere, left upper armCMS: Osteonecrosis in diseases classd elswhr, left upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.529Osteonecrosis in diseases classified elsewhere, unspecified upper armCMS: Osteonecrosis in diseases classd elswhr, unsp upper armCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.53 Osteonecrosis in diseases classified elsewhere, forearm
M90.531Osteonecrosis in diseases classified elsewhere, right forearmCMS: Osteonecrosis in diseases classd elswhr, right forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.532Osteonecrosis in diseases classified elsewhere, left forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.539Osteonecrosis in diseases classified elsewhere, unspecified forearmCMS: Osteonecrosis in diseases classified elsewhere, unsp forearmCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.54 Osteonecrosis in diseases classified elsewhere, hand
M90.541Osteonecrosis in diseases classified elsewhere, right handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.542Osteonecrosis in diseases classified elsewhere, left handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.549Osteonecrosis in diseases classified elsewhere, unspecified handCMS: Osteonecrosis in diseases classified elsewhere, unsp handCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.55 Osteonecrosis in diseases classified elsewhere, thigh
M90.551Osteonecrosis in diseases classified elsewhere, right thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.552Osteonecrosis in diseases classified elsewhere, left thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.559Osteonecrosis in diseases classified elsewhere, unspecified thighCMS: Osteonecrosis in diseases classified elsewhere, unsp thighCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.56 Osteonecrosis in diseases classified elsewhere, lower leg
M90.561Osteonecrosis in diseases classified elsewhere, right lower legCMS: Osteonecrosis in diseases classd elswhr, right lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.562Osteonecrosis in diseases classified elsewhere, left lower legCMS: Osteonecrosis in diseases classd elswhr, left lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.569Osteonecrosis in diseases classified elsewhere, unspecified lower legCMS: Osteonecrosis in diseases classd elswhr, unsp lower legCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.57 Osteonecrosis in diseases classified elsewhere, ankle and foot
M90.571Osteonecrosis in diseases classified elsewhere, right ankle and footCMS: Osteonecrosis in diseases classd elswhr, right ank/ftCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.572Osteonecrosis in diseases classified elsewhere, left ankle and footCMS: Osteonecrosis in diseases classd elswhr, left ankle and footCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.579Osteonecrosis in diseases classified elsewhere, unspecified ankle and footCMS: Osteonecrosis in diseases classd elswhr, unsp ankle and footCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M90.58Osteonecrosis in diseases classified elsewhere, other siteCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.59Osteonecrosis in diseases classified elsewhere, multiple sitesCMS: Osteonecrosis in diseases classd elswhr, multiple sitesCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.6 Osteitis deformans in neoplastic diseases
M90.60Osteitis deformans in neoplastic diseases, unspecified siteCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.61 Osteitis deformans in neoplastic diseases, shoulder
M90.611Osteitis deformans in neoplastic diseases, right shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.612Osteitis deformans in neoplastic diseases, left shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.619Osteitis deformans in neoplastic diseases, unspecified shoulderCMS: Osteitis deformans in neoplastic diseases, unsp shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.62 Osteitis deformans in neoplastic diseases, upper arm
M90.621Osteitis deformans in neoplastic diseases, right upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.622Osteitis deformans in neoplastic diseases, left upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.629Osteitis deformans in neoplastic diseases, unspecified upper armCMS: Osteitis deformans in neoplastic diseases, unsp upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.63 Osteitis deformans in neoplastic diseases, forearm
M90.631Osteitis deformans in neoplastic diseases, right forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.632Osteitis deformans in neoplastic diseases, left forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.639Osteitis deformans in neoplastic diseases, unspecified forearmCMS: Osteitis deformans in neoplastic diseases, unsp forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.64 Osteitis deformans in neoplastic diseases, hand
M90.641Osteitis deformans in neoplastic diseases, right handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.642Osteitis deformans in neoplastic diseases, left handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.649Osteitis deformans in neoplastic diseases, unspecified handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.65 Osteitis deformans in neoplastic diseases, thigh
M90.651Osteitis deformans in neoplastic diseases, right thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.652Osteitis deformans in neoplastic diseases, left thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.659Osteitis deformans in neoplastic diseases, unspecified thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.66 Osteitis deformans in neoplastic diseases, lower leg
M90.661Osteitis deformans in neoplastic diseases, right lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.662Osteitis deformans in neoplastic diseases, left lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.669Osteitis deformans in neoplastic diseases, unspecified lower legCMS: Osteitis deformans in neoplastic diseases, unsp lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.67 Osteitis deformans in neoplastic diseases, ankle and foot
M90.671Osteitis deformans in neoplastic diseases, right ankle and footCMS: Osteitis deformans in neoplastic diseases, right ank/ftCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.672Osteitis deformans in neoplastic diseases, left ankle and footCMS: Osteitis deformans in neoplastic diseases, left ank/ftCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.679Osteitis deformans in neoplastic diseases, unspecified ankle and footCMS: Osteitis deformans in neoplastic diseases, unsp ank/ftCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.68Osteitis deformans in neoplastic diseases, other siteCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.69Osteitis deformans in neoplastic diseases, multiple sitesCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.8 Osteopathy in diseases classified elsewhere
M90.80Osteopathy in diseases classified elsewhere, unspecified siteCMS: Osteopathy in diseases classified elsewhere, unsp siteCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.81 Osteopathy in diseases classified elsewhere, shoulder
M90.811Osteopathy in diseases classified elsewhere, right shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.812Osteopathy in diseases classified elsewhere, left shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.819Osteopathy in diseases classified elsewhere, unspecified shoulderCMS: Osteopathy in diseases classified elsewhere, unsp shoulderCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.82 Osteopathy in diseases classified elsewhere, upper arm
M90.821Osteopathy in diseases classified elsewhere, right upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.822Osteopathy in diseases classified elsewhere, left upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.829Osteopathy in diseases classified elsewhere, unspecified upper armCMS: Osteopathy in diseases classified elsewhere, unsp upper armCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.83 Osteopathy in diseases classified elsewhere, forearm
M90.831Osteopathy in diseases classified elsewhere, right forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.832Osteopathy in diseases classified elsewhere, left forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.839Osteopathy in diseases classified elsewhere, unspecified forearmCMS: Osteopathy in diseases classified elsewhere, unsp forearmCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.84 Osteopathy in diseases classified elsewhere, hand
M90.841Osteopathy in diseases classified elsewhere, right handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.842Osteopathy in diseases classified elsewhere, left handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.849Osteopathy in diseases classified elsewhere, unspecified handCMS: Osteopathy in diseases classified elsewhere, unsp handCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.85 Osteopathy in diseases classified elsewhere, thigh
M90.851Osteopathy in diseases classified elsewhere, right thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.852Osteopathy in diseases classified elsewhere, left thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.859Osteopathy in diseases classified elsewhere, unspecified thighCMS: Osteopathy in diseases classified elsewhere, unsp thighCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.86 Osteopathy in diseases classified elsewhere, lower leg
M90.861Osteopathy in diseases classified elsewhere, right lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.862Osteopathy in diseases classified elsewhere, left lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.869Osteopathy in diseases classified elsewhere, unspecified lower legCMS: Osteopathy in diseases classified elsewhere, unsp lower legCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.87 Osteopathy in diseases classified elsewhere, ankle and foot
M90.871Osteopathy in diseases classified elsewhere, right ankle and footCMS: Osteopathy in diseases classd elswhr, right ankle and footCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.872Osteopathy in diseases classified elsewhere, left ankle and footCMS: Osteopathy in diseases classd elswhr, left ankle and footCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.879Osteopathy in diseases classified elsewhere, unspecified ankle and footCMS: Osteopathy in diseases classd elswhr, unsp ankle and footCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.88Osteopathy in diseases classified elsewhere, other siteCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M90.89Osteopathy in diseases classified elsewhere, multiple sitesCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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