ICD-10-CM · Hand

M70.11

Bursitis localized to the right hand, classified under soft tissue disorders related to use, overuse, and pressure (M70 category).

Verified May 8, 2026 · 5 sources ↓

Status
Billable
Chapter
13
Related CPT
9
Region
Hand
Drawn from CDCICD10DataAAPCEcgwavesCMS

Documentation tips

What should appear in the chart to support M70.11.

Source · Editorial brief grounded in 5 cited references ↓

  • Explicitly document 'right hand' laterality — without it, you can only assign M70.10 (unspecified laterality).
  • Record the specific bursal structure involved when known (e.g., finger, wrist-side of hand) to support medical necessity.
  • Document occupational or activity-related etiology (e.g., repetitive gripping, keyboarding, manual labor) to justify the M70 category over M71.9- (bursitis NOS).
  • Include relevant imaging findings — ultrasound or MRI confirming bursal fluid accumulation or thickening strengthens the diagnosis and reduces audit risk.
  • Add the appropriate Y93.- external cause activity code when the disorder is linked to a specific occupation or recreational activity.
  • Note any prior conservative treatment (NSAIDs, splinting, physical therapy) in the record if the visit involves a procedural intervention such as aspiration or injection.

Related CPT procedures

Procedure codes commonly billed with M70.11. 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 M70.11 and adjacent codes.

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

  • Using M70.11 when documentation only says 'bursitis, hand' without specifying right — assign M70.10 (unspecified) until the note confirms laterality.
  • Coding M70.11 for bursitis of the shoulder or wrist proper when the documented site is ambiguous — M75.5 covers shoulder bursitis, and wrist bursitis may fall under M70.12 or adjacent codes depending on exact location.
  • Omitting the Y93.- external cause activity code when the M70 category's 'use additional code' instruction applies — this is a documentation and compliance gap.
  • Selecting M70.11 for septic or infectious bursitis of the right hand — infectious bursitis codes to M71.0- (abscess of bursa) or M71.1- (other infective bursitis), not M70.-.
  • Confusing bursitis with tenosynovitis of the hand — tenosynovitis codes to M65.- and is a separate clinical entity requiring its own code selection.

Clinical context

Source · Editorial summary grounded in 5 cited references ↓

M70.11 applies when a patient presents with bursitis of the right hand — including the fingers, wrist area of the hand, or hand bursal structures — attributable to use, overuse, or pressure. The M70 category is reserved for soft tissue disorders of occupational or activity-related origin, which means the etiology should reflect repetitive mechanical stress rather than systemic inflammatory disease or infection. If bursitis is unrelated to use or overuse, M71.9- (bursitis NOS) may be more appropriate.

Laterality is built into this code: M70.11 is right hand only. The left-hand equivalent is M70.12, and M70.10 covers unspecified laterality. Do not use M70.11 when documentation is silent on side — drop to M70.10 until the note is clarified. The M70 parent code also excludes bursitis of the shoulder (M75.5) and enthesopathies (M76–M77), so confirm the involved structure is a bursa of the hand proper before coding here.

For inpatient encounters, M70.11 groups to MS-DRG 557 (Tendonitis, Myositis and Bursitis with MCC) or 558 (without MCC). The M70 category instructs coders to add an external cause code (Y93.-) to identify the activity causing the disorder when applicable — occupational repetitive motion, manual labor, or sport-specific activity.

Sibling codes

Other billable codes under M70.1 (laterality / anatomic variants).

Frequently asked questions

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

01What is the difference between M70.11 and M71.9-?
M70.11 is bursitis of the right hand specifically linked to use, overuse, or pressure — including occupational origin. M71.9- is bursitis NOS and is used when no etiology or specific site is documented. If the note documents repetitive hand activity as the cause, M70.11 is the correct choice.
02Can M70.11 be used for bursitis of the finger?
Yes. Approximate synonyms for M70.11 include 'bursitis of finger of right hand' and 'bursitis of right finger,' per the ICD-10-CM tabular. Document the specific digit if known, but the code covers the hand broadly.
03Does M70.11 require an external cause code?
The M70 parent code instructs coders to use an additional code from Y93.- to identify the activity causing the disorder. This is a 'use additional code' instruction — apply it when the activity is documented in the note.
04What code do I use if the provider doesn't specify right or left hand?
Use M70.10 (bursitis, unspecified hand) when laterality is not documented. Query the provider before final claim submission if possible; specificity supports audit defense and may affect medical necessity review.
05Is M70.11 appropriate for infectious bursitis of the right hand?
No. Infectious or septic bursitis codes to M71.0- (abscess of bursa) or M71.1- (other infective bursitis). M70.11 is limited to non-infectious bursitis related to mechanical use, overuse, or pressure.
06Which MS-DRGs does M70.11 map to for inpatient encounters?
M70.11 groups to MS-DRG 557 (Tendonitis, Myositis and Bursitis with MCC) or 558 (without MCC) under MS-DRG v43.0. The MCC designation affects reimbursement, so accurate comorbidity coding matters.
07Can M70.11 and a tenosynovitis code be billed together for the same hand?
Yes, if both conditions are separately documented and clinically distinct. Bursitis (M70.11) and tenosynovitis (M65.-) involve different structures. Document each finding explicitly so the claim supports both codes.

Mira AI Scribe

Mira's AI scribe captures right-hand laterality, the specific bursal location within the hand, occupational or activity history (repetitive use, manual labor, sport), imaging results (ultrasound or MRI confirming bursal fluid), and any prior conservative care. This prevents assignment of the unspecified M70.10 code, eliminates audit exposure from missing external cause codes, and ensures the M70 use/overuse etiology is defensible in the record.

See how Mira captures M70.11 documentation

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