2027 ICD-10-CM Diagnosis Code M89.759Major osseous defect, unspecified pelvic region and thigh

ICD-10-CM Codes›M00–M99›M86-M90›M89

ICD-10-CM M89.759
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M89.759 is a billable ICD-10-CM diagnosis code for major osseous defect, unspecified pelvic region and thigh. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 553 through 554. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified bone disease and musculoskeletal deformities.

Code Identity

ICD-10-CM Code
M89.759
Billable Status
Yes — Valid for Submission
Code Describes
Major osseous defect, unspecified pelvic region and thigh
Short Description
Major osseous defect, unspecified pelvic region and thigh
Same as the full description in the CMS dataset.
Parent Code
Major osseous defect, pelvic region and thigh

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM86-M90Other osteopathies
CategoryM89Other disorders of bone
This CodeM89.759Major osseous defect, unspecified pelvic region and thigh

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M89.759: its own notes plus those printed at M89.7, block M86-M90, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Block M86-M90 Other osteopathies applies to 732 codes
  • postprocedural osteopathies (M96.-)

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.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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)

Code First

The underlying condition named in the note is sequenced before this code.

From M89.7 Major osseous defect applies to 24 codes
  • underlying disease, if known, such as:
  • aseptic necrosis of bone (M87.-)
  • malignant neoplasm of bone (C40.-)
  • osteolysis (M89.5-)
  • osteomyelitis (M86.-)
  • osteonecrosis (M87.-)
  • osteoporosis (M80.-, M81.-)
  • periprosthetic osteolysis (T84.05-)

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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 M89.759, its category, or a range that includes it.

Use Additional Code 7

These codes say to use an additional code from the note, and M89.759 is one of the codes named.

  • C40 Malignant neoplasm of bone and articular cartilage of limbs
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • M80 Osteoporosis with current pathological fracture
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • M81 Osteoporosis without current pathological fracture
    major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • M86 Osteomyelitis
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • M87 Osteonecrosis
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • M89.5 Osteolysis
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code
  • T84.05 Periprosthetic osteolysis of internal prosthetic joint
    code to identify major osseous defect, if applicable (M89.7-) names M89.7-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS028
Other specified bone disease and musculoskeletal deformities
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Bone Diseases

Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M89.759 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
731.3 Major osseous defects
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M89.759Overview

What is the ICD-10 code for major osseous defect, unspecified pelvic region and thigh?

The ICD-10-CM code for major osseous defect, unspecified pelvic region and thigh is M89.759 (sometimes written as M89759). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M89.759 (Major osseous defect, pelvic region and thigh) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report major osseous defect, unspecified pelvic region and thigh on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does M89.759 group to?

When major osseous defect, unspecified pelvic region and thigh is the principal diagnosis on an inpatient stay, it groups to MS-DRG 554, 553, with relative weights from 0.8328 to 1.2492 depending on complications. Higher weights mean higher Medicare reimbursement.

Can M89.759 be reported with a code from M96?

Not as a rule. The Excludes1 note at block M86-M90, which applies to M89.759, lists "postprocedural osteopathies (M96.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is coded first with M89.759?

The Code First note at M89.7, which applies to M89.759, reads: underlying disease, if known, such as: aseptic necrosis of bone (M87.-); malignant neoplasm of bone (C40.-); osteolysis (M89.5-); osteomyelitis (M86.-); osteonecrosis (M87.-); and 2 more listed in the Instructional Notes section. When one of these applies, it is sequenced before M89.759.