M88.822: Osteitis deformans of left upper arm
M88.822, osteitis deformans of left upper arm, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including J1740 (Injection, ibandronate sodium, 1 mg), J3489 (Injection, zoledronic acid, 1 mg), J2430 (Injection, pamidronate disodium, per 30 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 M88.822 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| J1740 | Injection, ibandronate sodium, 1 mg | Carrier judgment | — | 2 |
| J3489 | Injection, zoledronic acid, 1 mg | Carrier judgment | — | 1 |
| J2430 | Injection, pamidronate disodium, per 30 mg | Special coverage instructions apply | — | 1 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2169 | Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G0281 | Electrical 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 care | Carrier judgment | — | 1 |
| G0329 | Electromagnetic 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 care | Carrier judgment | — | 1 |
Medicare policy articles listing M88.822
- A56907: Billing and Coding: Bisphosphonate Drug Therapy (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L34648
- A52421: Billing and Coding: Ibandronate Sodium (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes)
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC); 5 Level II codes). LCD with the same title: L34560
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A); 3 Level II codes). LCD with the same title: L34427
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 M88 diagnoses (Osteitis deformans [Paget's disease of bone])
- M88.821 — Osteitis deformans of right upper arm
- M88.811 — Osteitis deformans of right shoulder
- M88.812 — Osteitis deformans of left shoulder
- M88.831 — Osteitis deformans of right forearm
- M88.832 — Osteitis deformans of left forearm
- M88.841 — Osteitis deformans of right hand
- M88.842 — Osteitis deformans of left hand
- M88.851 — Osteitis deformans of right thigh
- M88.852 — Osteitis deformans of left thigh
- M88.861 — Osteitis deformans of right lower leg
- M88.862 — Osteitis deformans of left lower leg
- M88.871 — Osteitis deformans of right ankle and foot
- M88.872 — Osteitis deformans of left ankle and foot
- M88.88 — Osteitis deformans of other bones
- M88.89 — Osteitis deformans of multiple sites
- M88.0 — Osteitis deformans of skull
- M88.1 — Osteitis deformans of vertebrae
Frequently asked questions
Does Medicare cover M88.822 (Osteitis deformans of left upper arm)?
Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list M88.822 as a covered diagnosis for 10 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 M88.822?
The Level II codes from the policies most specific to this diagnosis are J1740 (Injection, ibandronate sodium, 1 mg, 2 articles); J3489 (Injection, zoledronic acid, 1 mg, 1 article); J2430 (Injection, pamidronate disodium, per 30 mg, 1 article); G0283 (Electrical stimulation (unattended), to one or more areas…, 2 articles); G0152 (Services performed by a qualified occupational therapist…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list M88.822?
A56907 (Billing and Coding: Bisphosphonate Drug Therapy); A52421 (Billing and Coding: Ibandronate Sodium); A53057 (Billing and Coding: Home Health Occupational Therapy), and 1 more article.
What is ICD-10-CM code M88.822?
M88.822 is the ICD-10-CM code for osteitis deformans of left upper arm, in category M88 (Osteitis deformans [Paget's disease of bone]), chapter 13: Diseases of the musculoskeletal system and connective tissue.
Next steps
- Run a reimbursement report for a device billed under J1740
- Watch J1740 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1740
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