Version 2024

2024 ICD-10-CM Diagnosis Code M92.513

Juvenile osteochondrosis of proximal tibia, bilateral

ICD-10-CM Code:: M92.513
ICD-10 Code for:: Juvenile osteochondrosis of proximal tibia, bilateral
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Chronic
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Diseases of the musculoskeletal system and connective tissue
(M00–M99)
- Chondropathies
  (M91-M94)
  - Other juvenile osteochondrosis
    (M92)

M92.513 is a billable diagnosis code used to specify a medical diagnosis of juvenile osteochondrosis of proximal tibia, bilateral. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Angulation deformity of lower leg
Bilateral varus deformity of tibias
Left tibia vara
Right tibia vara
Varus deformity of tibia

Clinical Classification

Clinical Category is Other specified bone disease and musculoskeletal deformities
CCSR Category Code: MUS028
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

M92.513 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	08	1.3515
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	08	0.8218

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

M92513 replaces the following previously assigned ICD-10-CM code(s):

M92.51 - Juvenile osteochondrosis of proximal tibia
M92.51 - Juvenile osteochondrosis of tibia and fibula, right leg

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

M92 Other juvenile osteochondrosis.
M92.0 Juvenile osteochondrosis of humerus.
M92.00 Juvenile osteochondrosis of humerus, unspecified arm.
M92.01 Juvenile osteochondrosis of humerus, right arm.
M92.02 Juvenile osteochondrosis of humerus, left arm.
M92.1 Juvenile osteochondrosis of radius and ulna.
M92.10 Juvenile osteochondrosis of radius and ulna, unspecified arm.
M92.11 Juvenile osteochondrosis of radius and ulna, right arm.
M92.12 Juvenile osteochondrosis of radius and ulna, left arm.
M92.2 Juvenile osteochondrosis, hand.
M92.20 Unspecified juvenile osteochondrosis, hand.
M92.201 Unspecified juvenile osteochondrosis, right hand.
M92.202 Unspecified juvenile osteochondrosis, left hand.
M92.209 Unspecified juvenile osteochondrosis, unspecified hand.
M92.21 Osteochondrosis (juvenile) of carpal lunate [Kienbock].
M92.211 Osteochondrosis (juvenile) of carpal lunate [Kienbock], right hand.
M92.212 Osteochondrosis (juvenile) of carpal lunate [Kienbock], left hand.
M92.219 Osteochondrosis (juvenile) of carpal lunate [Kienbock], unspecified hand.
M92.22 Osteochondrosis (juvenile) of metacarpal heads [Mauclaire].
M92.221 Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], right hand.
M92.222 Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], left hand.
M92.229 Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], unspecified hand.
M92.29 Other juvenile osteochondrosis, hand.
M92.291 Other juvenile osteochondrosis, right hand.
M92.292 Other juvenile osteochondrosis, left hand.
M92.299 Other juvenile osteochondrosis, unspecified hand.
M92.3 Other juvenile osteochondrosis, upper limb.
M92.30 Other juvenile osteochondrosis, unspecified upper limb.
M92.31 Other juvenile osteochondrosis, right upper limb.
M92.32 Other juvenile osteochondrosis, left upper limb.
M92.4 Juvenile osteochondrosis of patella.
M92.40 Juvenile osteochondrosis of patella, unspecified knee.
M92.41 Juvenile osteochondrosis of patella, right knee.
M92.42 Juvenile osteochondrosis of patella, left knee.
M92.5 Juvenile osteochondrosis of tibia and fibula.
M92.50 Unspecified juvenile osteochondrosis of tibia and fibula.
M92.501 Unspecified juvenile osteochondrosis, right leg.
M92.502 Unspecified juvenile osteochondrosis, left leg.
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.
M92.529 Juvenile osteochondrosis of tibia tubercle, unspecified leg.
M92.59 Other juvenile osteochondrosis of tibia and fibula.
M92.591 Other juvenile osteochondrosis of tibia and fibula, right leg.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - Code Added, effective from 10/1/2020 through 9/30/2021

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
The condition places limitations on self-care, independent living, and social interactions.