M26.03Mandibular hyperplasia

M26.03 is the ICD-10-CM diagnosis code for mandibular hyperplasia. It belongs to category M26 (dentofacial anomalies [including malocclusion]), block M26-M27 (dentofacial anomalies [including malocclusion] and other disorders of jaw) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within M26.0 (major anomalies of jaw size), M26.03 is specifically for mandibular hyperplasia. Related codes cover unspecified anomaly of jaw size (M26.00), maxillary hyperplasia (M26.01), maxillary hypoplasia (M26.02), mandibular hypoplasia (M26.04), macrogenia (M26.05), microgenia (M26.06), excessive tuberosity of jaw (M26.07) and other specified anomalies of jaw size (M26.09).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC, relative weight 5.6154), DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC, relative weight 4.381), DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC, relative weight 2.7307), DRG 157 (Dental and Oral Diseases with MCC, relative weight 1.809), DRG 158 (Dental and Oral Diseases with CC, relative weight 0.9366) and DRG 159 (Dental and Oral Diseases without CC/MCC, relative weight 0.6893), in Pre-MDC and MDC 03 (Diseases and Disorders of the Ear, Nose, Mouth and Throat), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 524.02 (major anomalies of jaw size, mandibular hyperplasia).