ICD-10-CM · General

M71.40

Calcium deposit within a bursa at an unspecified anatomical site, classified under other bursopathies in the musculoskeletal chapter.

Verified May 8, 2026 · 5 sources ↓

Status
Billable
Chapter
13
Related CPT
8
Region
General
Drawn from CDCICD10DataAAPCIcdlistCMS

Documentation tips

What should appear in the chart to support M71.40.

Source · Editorial brief grounded in 5 cited references ↓

  • Record the exact bursa location by name (e.g., olecranon, trochanteric, prepatellar) — if the site is known, use a site-specific M71.4x code instead of M71.40.
  • Document imaging findings that confirm calcification: plain radiograph or ultrasound showing calcific deposits within the bursal sac, including size and density if reported.
  • Note the etiology as non-mechanical (not related to overuse or pressure) to support M71.4x over M70.- codes; document absence of repetitive mechanical cause when applicable.
  • If the shoulder is the affected side, explicitly route to M75.3 (Calcific tendinitis of shoulder) — the Excludes2 note at M71.4 prohibits use of M71.40 for shoulder bursal calcium deposits.
  • For injection procedures, document the specific bursa injected, the agent used, and the clinical indication to link the diagnosis code to the CPT procedure code for medical necessity.

Related CPT procedures

Procedure codes commonly billed with M71.40. 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 M71.40 and adjacent codes.

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

  • Using M71.40 for shoulder calcific bursitis — M75.3 is required; the Excludes2 note at M71.4 explicitly excludes calcium deposit in the bursa of the shoulder.
  • Defaulting to M71.40 when the site is documented in the note — if the provider names any specific joint or anatomical location, a site-specific M71.4x code (e.g., M71.421 for right elbow) must be used.
  • Confusing M71.40 with M70.- bursitis codes — mechanical or overuse bursitis belongs in M70, not M71; the M71 category is for non-mechanical causes including calcium deposits.
  • Assigning M71.40 when enthesopathy is the actual diagnosis — enthesopathies code to M76–M77, which are Type 1 Excluded from M71.
  • Failing to query the provider when site is undocumented — M71.40 is an unspecified code acceptable only when the site is truly unknown, not when documentation is simply incomplete.

Clinical context

Source · Editorial summary grounded in 5 cited references ↓

M71.40 is the fallback code when calcific bursitis is documented but the treating provider has not specified the anatomical location of the affected bursa. Use it only when the site is genuinely unknown or undocumented — not as a shortcut when a site-specific code exists. If the provider names a location (elbow, wrist, hand, hip, knee, ankle/foot), a more specific M71.4x code is required. Shoulder calcific bursitis is explicitly excluded from the M71.4 subcategory entirely; use M75.3 instead.

M71.40 sits under the M71 'Other bursopathies' category, which carries a Type 1 Excludes for bursitis related to use, overuse, or pressure (M70.-) and enthesopathies (M76–M77). If the etiology is occupational or mechanical — repetitive kneeling, prolonged pressure — M70.- is the correct category, not M71.40. Calcium deposits in a bursa are a distinct pathophysiologic finding (hydroxyapatite crystal deposition) and should not be conflated with simple mechanical bursitis.

For inpatient encounters, M71.40 maps to MS-DRG 557 (Tendonitis, Myositis and Bursitis with MCC, relative weight 1.4869) or MS-DRG 558 (without MCC, relative weight 0.8932) under MDC 08. Upgrading to a site-specific M71.4x code does not change DRG assignment but does improve clinical documentation integrity and payer audit defensibility.

Sibling codes

Other billable codes under M71.4 (laterality / anatomic variants).

Frequently asked questions

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

01When should I use M71.40 instead of a more specific M71.4x code?
Only when the provider's documentation genuinely does not identify which bursa is affected. If any anatomical site is named, select the corresponding site-specific code (e.g., M71.421 right elbow, M71.551 right hip). M71.40 is an unspecified code of last resort, not a default.
02Can I use M71.40 for calcific bursitis of the shoulder?
No. The M71.4 subcategory carries an Excludes2 note directing calcium deposit in the bursa of the shoulder to M75.3. Using M71.40 for a shoulder site is a coding error that will not reflect correct anatomy and may trigger a payer edit.
03What is the difference between M71.40 and M70.- bursitis codes?
M70.- covers bursitis caused by mechanical factors — use, overuse, or pressure (occupational or sport-related). M71.40 is for calcium deposits within a bursa, a distinct pathophysiologic process involving hydroxyapatite crystal deposition. The M71 category has a Type 1 Excludes for M70.- conditions.
04Which CPT procedure codes are commonly linked to M71.40 for medical necessity?
Bursal injection CPT codes (20610 for major joint/bursa, 20605 for intermediate, 20600 for small) are the most common procedure codes paired with M71.40. Imaging CPT codes such as 73564 (knee X-ray) or 73221 (MRI upper extremity) may support workup. Always confirm the payer's LCD for covered diagnoses.
05Does M71.40 require a 7th character extension?
No. M71.40 is an M-code (musculoskeletal disease chapter), not a trauma S-code. Seventh-character extensions (A, D, S) apply to injury codes in the S-chapter, not to M71.40.
06What MS-DRGs does M71.40 map to for inpatient billing?
M71.40 maps to MS-DRG 557 (Tendonitis, Myositis and Bursitis with MCC, relative weight 1.4869) or MS-DRG 558 (without MCC, relative weight 0.8932), both under MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue.
07Is M71.40 valid for FY2026 claims?
Yes. M71.40 is a billable, specific ICD-10-CM code effective October 1, 2025 through September 30, 2026 under the FY2026 code set.

Mira AI Scribe

Mira AI Scribe captures the affected bursa's anatomical location, imaging confirmation of calcific deposits (X-ray or ultrasound findings), and the non-mechanical etiology from the encounter note — preventing unspecified-code audit flags when a site-specific M71.4x code is supportable, and flagging shoulder involvement for automatic rerouting to M75.3.

See how Mira captures M71.40 documentation

Related ICD-10 codes

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