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M85.462 vs M85.469

M85.462 (Solitary bone cyst, left tibia and fibula) compared with M85.469 (Solitary bone cyst, unspecified tibia and fibula), from the official CMS tabular data. M85.462 and M85.469 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M85.462
Left
Solitary bone cyst, left tibia and fibula
M85.469
Unspecified
Solitary bone cyst, unspecified tibia and fibula

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M85.462 and M85.469 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M85.462Solitary bone cyst, left tibia and fibulaM85.469Solitary bone cyst, unspecified tibia and fibula
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionSolitary bone cyst, left tibia and fibula is a billable ICD-10-CM diagnosis code (M85.462).Solitary bone cyst, unspecified tibia and fibula is a billable ICD-10-CM diagnosis code (M85.469).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources