M85.872: Other specified disorders of bone density and structure, left ankle and foot

M85.872, other specified disorders of bone density and structure, left ankle and foot, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 7 HCPCS Level II codes, including G0130 (Single energy x-ray absorptiometry (sexa) bone density…), J3489 (Injection, zoledronic acid, 1 mg), J1740 (Injection, ibandronate sodium, 1 mg). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with M85.872 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
G0130Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)Special coverage instructions apply—2
J3489Injection, zoledronic acid, 1 mgCarrier judgment—1
J1740Injection, ibandronate sodium, 1 mgCarrier judgment—1
J2430Injection, pamidronate disodium, per 30 mgSpecial coverage instructions apply—1
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of careCarrier judgment—1
G0281Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of careCarrier judgment—1
G0329Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of careCarrier judgment—1

Medicare policy articles listing M85.872

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other M85 diagnoses (Other disorders of bone density and structure)

Frequently asked questions

Does Medicare cover M85.872 (Other specified disorders of bone density and structure…)?

Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list M85.872 as a covered diagnosis for 7 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 M85.872?

The Level II codes from the policies most specific to this diagnosis are G0130 (Single energy x-ray absorptiometry (sexa) bone density…, 2 articles); J3489 (Injection, zoledronic acid, 1 mg, 1 article); J1740 (Injection, ibandronate sodium, 1 mg, 1 article); J2430 (Injection, pamidronate disodium, per 30 mg, 1 article); G0283 (Electrical stimulation (unattended), to one or more areas…, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list M85.872?

A56907 (Billing and Coding: Bisphosphonate Drug Therapy); A59040 (Billing and Coding: Bone Mass Measurement); A57132 (Billing and Coding: Bone Mass Measurement), and 1 more article.

What is ICD-10-CM code M85.872?

M85.872 is the ICD-10-CM code for other specified disorders of bone density and structure, left ankle and foot, in category M85 (Other disorders of bone density and structure), chapter 13: Diseases of the musculoskeletal system and connective tissue.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 13: Diseases of the musculoskeletal system and connective tissue · All diagnoses · HCPCS lookup