ICD-10-CM Billable Code

M85.529

Aneurysmal bone cyst, unspecified upper arm

Clinical Classification Guidelines

Medical Intelligence & Overview

An aneurysmal bone cyst (ABC) is a rare, benign bone lesion that can cause swelling, pain, and structural weakness where it develops. When located in the upper arm, it involves the bones of the humerus or nearby structures. Although the exact cause of ABCs is unknown, they are characterized by blood-filled channels within the bone that can expand and weaken the affected bone. This condition is generally diagnosed through imaging studies and treated by surgical intervention or other medical procedures.

Causes & Symptoms

Clinical Causes: The precise cause of aneurysmal bone cysts remains unknown, though they are thought to develop from abnormal blood vessel development within the bone. Some cases may be associated with genetic factors or previous trauma, but these are not well understood. ABC may occasionally develop in response to other bone abnormalities or injuries.

Key Symptoms: Pain in the affected area, which may worsen with activity or at night Swelling or a noticeable lump near the upper arm Limited range of motion in the shoulder or arm, if the cyst impinges on nearby structures Tenderness over the affected bone In some cases, fractures may occur if the cyst causes significant weakening of the bone

Diagnostic & Treatment

Diagnosis Path: The diagnosis of an aneurysmal bone cyst involves various imaging techniques...

Treatment Protocols: Treatment options for an aneurysmal bone cyst in the upper arm include...

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M85.529 a billable ICD-10 code?
Yes, M85.529 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M85.529?
Clinical documentation must specify the nature of Aneurysmal bone cyst, unspecified upper arm and any associated comorbidities for accurate reporting.

Cite this Clinical Reference