2027 ICD-10-CM Diagnosis Code M76.9Unspecified enthesopathy, lower limb, excluding foot
ICD-10-CM Codes›M00–M99›M70-M79›M76
- Billable — Valid for Submission
- Not Chronic
M76.9 is a billable ICD-10-CM diagnosis code for unspecified enthesopathy, lower limb, excluding foot. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 557 through 558. Coders also document this condition as enthesopathy of ankle AND/OR tarsus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tendon and synovial disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Enthesopathy of ankle AND/OR tarsus
- Enthesopathy of ankle region
- Enthesopathy of hip region
- Enthesopathy of left ankle
- Enthesopathy of lower leg and ankle region
- Enthesopathy of lower limb
- Enthesopathy of right ankle
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M76.9: its own notes plus those printed at M76 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M76.9, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming M76.9: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Enthesopathy
a disorder occurring at the site of insertion of tendons or ligaments into bones or joint capsules.
Patient EducationClinical
Connective Tissue Disorders
Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M76.9 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M76.9Overview
What is the ICD-10 code for unspecified enthesopathy, lower limb, excluding foot?
The ICD-10-CM code for unspecified enthesopathy, lower limb, excluding foot is M76.9 (sometimes written as M769). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is M76.9 (Enthesopathies, lower limb, excluding foot) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified enthesopathy, lower limb, excluding foot on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does M76.9 group to?
When unspecified enthesopathy, lower limb, excluding foot is the principal diagnosis on an inpatient stay, it groups to MS-DRG 557, 558, with relative weights from 0.8873 to 1.4883 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M76.9?
Under the General Equivalence Mappings, unspecified enthesopathy, lower limb, excluding foot converts to ICD-9-CM 726.8 (periph enthesopathy NEC). The mapping is approximate, so confirm the match fits the documentation.