M92.513 ICD-10-CM Code: Juvenile osteochondrosis of proximal tibia, bilateral
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 553 — BONE DISEASES AND ARTHROPATHIES WITH MCC (MDC 08)
- MS-DRG 554 — BONE DISEASES AND ARTHROPATHIES WITHOUT MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M92.513 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- postprocedural chondropathies (M96.-) Compare M92.513 vs M96 →
Frequently Compared Codes
The official Excludes notes on M92.513 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2021 — 2020-10-01Added to the code setJuvenile osteochondrosis of proximal tibia, bilateralFY2021 changes
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M92.513 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M91-M94 — Chondropathies [Hierarchy]
Referenced by Excludes1 notes
- M21.1 — Varus deformity, not elsewhere classified [Excludes1](via M92.51.-): “tibia vara (M92.51-)” · check together
Clinical classification (CCSR)
- MUS028 — Other specified bone disease and musculoskeletal deformities [CCSR]
Potential MS-DRG
- DRG 553 — BONE DISEASES AND ARTHROPATHIES WITH MCC [MS-DRG]: “BONE DISEASES AND ARTHROPATHIES WITH MCC (MDC 08)”
- DRG 554 — BONE DISEASES AND ARTHROPATHIES WITHOUT MCC [MS-DRG]: “BONE DISEASES AND ARTHROPATHIES WITHOUT MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Nearest codes (40)
- M92 — Other juvenile osteochondrosis [Sibling]
- M92.291 — Other juvenile osteochondrosis, right hand [Sibling]
- M92.292 — Other juvenile osteochondrosis, left hand [Sibling]
- M92.299 — Other juvenile osteochondrosis, unspecified hand [Sibling]
- M92.3 — Other juvenile osteochondrosis, upper limb [Sibling]
- M92.30 — Other juvenile osteochondrosis, unspecified upper limb [Sibling]
- M92.31 — Other juvenile osteochondrosis, right upper limb [Sibling]
- M92.32 — Other juvenile osteochondrosis, left upper limb [Sibling]
- and 32 more
Change history
- FY2021 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):MUS028 — Other specified bone disease and musculoskeletal deformities (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 553 (MDC 08), DRG 554 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name M92.513 or its code family.
1 Excludes1 notes: M21.1 (via M92.51.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M92.513 in its code family, with their registry titles.
- M92.503 — Unspecified juvenile osteochondrosis, bilateral leg
- M92.509 — Unspecified juvenile osteochondrosis, unspecified leg
- M92.51 — Juvenile osteochondrosis of proximal tibia
- M92.511 — Juvenile osteochondrosis of proximal tibia, right leg
- M92.512 — Juvenile osteochondrosis of proximal tibia, left leg
- M92.519 — Juvenile osteochondrosis of proximal tibia, unspecified leg
- M92.52 — Juvenile osteochondrosis of tibia tubercle
- M92.521 — Juvenile osteochondrosis of tibia tubercle, right leg
- M92.522 — Juvenile osteochondrosis of tibia tubercle, left leg
- M92.523 — Juvenile osteochondrosis of tibia tubercle, bilateral