M72.0 — Palmar fascial fibromatosis [Dupuytren]
M72.0 is a billable, specific ICD-10-CM code for palmar fascial fibromatosis [dupuytren]. It is valid for submission on a claim.
Other codes that can never be billed with M72.0
These codes carry an Excludes1 note pointing at M72.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M72.0 alone.
Risk adjustment
M72.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M72.0 is named in 14 Medicare coverage policies — 8 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M72.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M72.0.
- Dupuytren's contraction or disease
- Contraction, contracture, contracted›Dupuytren's
- Contraction, contracture, contracted›palmar fascia
- Disease, diseased›Dupuytren's(muscle contracture)
- Fibromatosis›Dupuytren's
- Fibromatosis›palmar(fascial)
- Retraction›palmar fascia
- Contraction, contracture, contracted›fascia›Dupuytren's
- Contraction, contracture, contracted›fascia›palmar
Related codes at this level
Codes that share M72. If M72.0 is not quite right, the correct code is usually one of these.
Questions about M72.0
- Is M72.0 a billable ICD-10-CM code?
- Yes. M72.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M72.0 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).