ICD-10-CM · Other

M26.30

M26.30 identifies an anomaly of tooth position affecting a fully erupted tooth or teeth when the specific type of positional abnormality is not documented or cannot be further specified.

Verified May 8, 2026 · 5 sources ↓

Status
Billable
Chapter
13
Related CPT
10
Region
Other
Drawn from CDCICD10DataAAPC

Documentation tips

What should appear in the chart to support M26.30.

Source · Editorial brief grounded in 5 cited references ↓

  • Confirm the teeth in question are fully erupted — M26.30 does not apply to impacted or embedded teeth (those code to K01.-).
  • If the provider can characterize the positional anomaly at all (crowding, spacing, rotation, horizontal or vertical displacement), use the specific M26.3x code instead of M26.30.
  • Record which teeth or arch segments are affected; while M26.30 carries no laterality character, tooth-level documentation supports medical necessity and audit defense.
  • Document any associated malocclusion separately — M26.4 (malocclusion, unspecified) or a more specific M26.2x code may be reported alongside M26.30 when both conditions are present and treated.
  • Note whether the anomaly is the primary reason for the encounter or a secondary finding; sequencing affects claim adjudication when multiple M26.x codes are reported.

Related CPT procedures

Procedure codes commonly billed with M26.30. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

Common coding pitfalls

The recurring mistakes coders make with M26.30 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Coding M26.30 when a more specific child code applies — always review M26.31 through M26.39 before defaulting to the unspecified code; payers may flag M26.30 as lacking specificity.
  • Billing M26.30 for impacted or embedded teeth — those conditions are excluded and must be reported with K01.- codes.
  • Confusing M26.30 with malocclusion codes (M26.4, M26.2x) — tooth positional anomalies and arch relationship anomalies are distinct categories; do not conflate them.
  • Using parent code M26.3 for billing — M26.3 is non-billable; M26.30 (or another M26.3x child code) is required for reimbursement claims.

Clinical context

Source · Editorial summary grounded in 5 cited references ↓

M26.30 is the unspecified fallback within the M26.3 subcategory (Anomalies of tooth position of fully erupted tooth or teeth). Use it only when documentation confirms a positional anomaly of fully erupted dentition but fails to characterize the exact nature of the displacement. If the record supports a more specific diagnosis, code there instead: M26.31 (crowding), M26.32 (excessive spacing), M26.33 (horizontal displacement), M26.34 (vertical displacement), M26.35 (rotation), M26.36 (insufficient interocclusal distance), M26.37 (excessive interocclusal distance), or M26.39 (other specified anomaly).

The ICD-10-CM Tabular includes three 'Applicable To' inclusion terms under M26.30: abnormal spacing NOS, displacement NOS, and transposition NOS — all of fully erupted teeth. These terms signal that M26.30 is appropriate when the provider documents a generic positional problem without specifying the direction, type, or degree. Note the Type 2 Excludes at the M26.3 parent level: embedded and impacted teeth code to K01.-, not here.

This code falls under the M26–M27 dentofacial anomalies section within Chapter 13 of ICD-10-CM. While it sits in a musculoskeletal chapter, it is most commonly encountered in oral surgery, orthodontic, and dental specialty billing contexts rather than general orthopedic practice. MS-DRG assignment groups M26.30 within DRGs 157–159 (Dental and oral diseases) and 011–013 (Tracheostomy for face, mouth, and neck diagnoses) when applicable complication/comorbidity thresholds are met.

Inclusion & exclusion notes

Per the official ICD-10-CM Tabular List.

Source · CDC ICD-10-CM Official Tabular List · 2026

Includes

  • Abnormal spacing of fully erupted tooth or teeth NOS
  • Displacement of fully erupted tooth or teeth NOS
  • Transposition of fully erupted tooth or teeth NOS

Sibling codes

Other billable codes under M26.3 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 5 cited references ↓

01When should I use M26.30 instead of a more specific M26.3x code?
Use M26.30 only when documentation confirms a tooth position anomaly of fully erupted teeth but does not specify whether it is crowding, spacing, rotation, horizontal displacement, vertical displacement, or another defined type. If the provider names the type, code to the specific M26.3x code.
02Can M26.30 be used for impacted or embedded teeth?
No. The M26.3 subcategory carries a Type 2 Excludes for embedded and impacted teeth, which code to K01.-. M26.30 applies only to fully erupted dentition.
03Is M26.3 billable for claims submission?
No. M26.3 is a non-billable parent code. Use M26.30 or another M26.3x child code on all reimbursement claims dated on or after October 1, 2015.
04What MS-DRGs does M26.30 map to?
Under MS-DRG v43.0, M26.30 groups to DRGs 157, 158, and 159 (Dental and oral diseases with MCC, with CC, and without CC/MCC) and DRGs 011, 012, and 013 (Tracheostomy for face, mouth, and neck diagnoses) when applicable.
05Can M26.30 be reported alongside a malocclusion code?
Yes. The Type 2 Excludes structure under M26.3 does not exclude malocclusion codes. If both a tooth position anomaly and a distinct malocclusion (e.g., M26.4) are documented and addressed, both codes may be reported.
06Does M26.30 require a 7th-character extension?
No. M26.30 is a 5-character M-code and does not use 7th-character extensions. The A/D/S extension convention applies to injury S-codes, not to musculoskeletal M-codes.
07Which inclusion terms fall under M26.30?
The ICD-10-CM Tabular lists three Applicable To terms: abnormal spacing of fully erupted tooth or teeth NOS, displacement of fully erupted tooth or teeth NOS, and transposition of fully erupted tooth or teeth NOS — all applying when no greater specificity is documented.

Sources & references

Editorial content was developed using the following public sources. Last verified May 8, 2026.

  1. 01CDC ICD-10-CM Tabular List 2026 (FY2026, effective October 1, 2025)
  2. 02
    icd10data.com
    https://www.icd10data.com/ICD10CM/Codes/M00-M99/M26-M27/M26-/M26.30
  3. 03
    icd10data.com
    https://www.icd10data.com/ICD10CM/Codes/M00-M99/M26-M27/M26-/M26.3
  4. 04
    aapc.com
    https://www.aapc.com/codes/icd-10-codes/M26.30
  5. 05
    aapc.com
    https://www.aapc.com/codes/icd-10-codes/M26.3

Mira AI Scribe

Mira's AI scribe captures the provider's characterization of the tooth positional finding — eruption status confirmed, specific type of displacement if stated, teeth or arch segment involved, and any imaging or clinical exam findings supporting the anomaly. This prevents defaulting to the non-billable parent M26.3, flags when a more specific M26.3x code is warranted, and ensures the K01.- exclusion for impacted teeth is respected.

See how Mira captures M26.30 documentation

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