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M88 vs M90.6

M88 (Osteitis deformans [Paget's disease of bone]) compared with M90.6 (Osteitis deformans in neoplastic diseases), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. M88 carries an Excludes1 note covering M90.6: “osteitis deformans in neoplastic disease (M90.6)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. M90.6 carries an Excludes1 note covering M88: “osteitis deformans [Paget's disease of bone] (M88.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

M88Osteitis deformans [Paget's disease of bone]M90.6Osteitis deformans in neoplastic diseases
Billing statusNon-billable header

Report instead: M88.0, M88.1, M88.811, M88.812, M88.819

Non-billable header

Report instead: M90.60, M90.611, M90.612, M90.619, M90.621

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionOsteitis deformans [Paget's disease of bone] is a non-billable ICD-10-CM category code (M88).Osteitis deformans in neoplastic diseases is a non-billable ICD-10-CM category code (M90.6).
Includes
Osteitis deformans in malignant neoplasm of bone
Code first
the neoplasm (C40.-, C41.-)

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