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M92.591 ICD-10-CM Code: Other juvenile osteochondrosis of tibia and fibula, right leg

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

Other juvenile osteochondrosis of tibia and fibula, right leg is a billable ICD-10-CM diagnosis code (M92.591).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for M92.591 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).

Frequently Compared Codes

The official Excludes notes on M92.591 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2021 — 2020-10-01
    Added to the code set
    Other juvenile osteochondrosis of tibia and fibula, right leg
    FY2021 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.

Relationships & Classification

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.

Contextual Map

Every relationship of M92.591 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]

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]
  • M92.292 — 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]
  • M92.4 — Juvenile osteochondrosis of patella [Sibling]
  • and 32 more

Change history

  • FY2021 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M92.591 in its code family, with their registry titles.

  • 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
  • M92.529 — Juvenile osteochondrosis of tibia tubercle, unspecified leg
  • M92.59 — Other juvenile osteochondrosis of tibia and fibula
  • M92.592 — Other juvenile osteochondrosis of tibia and fibula, left leg
  • M92.593 — Other juvenile osteochondrosis of tibia and fibula, bilateral
  • M92.599 — Other juvenile osteochondrosis of tibia and fibula, unspecified leg
  • M92.6 — Juvenile osteochondrosis of tarsus
  • M92.60 — Juvenile osteochondrosis of tarsus, unspecified ankle

View all codes in the M92 family