Other disorders of cartilage
In Chondropathies (M91-M94), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
40 billable codes under M94: none are a CC or MCC; none map to an HCC.
Advertisements
Instructional notes
Also applies, from Chondropathies (M91-M94)
These notes sit on M91-M94 and apply to every code under it, including M94.
Excludes1: not coded here, use a different code
- postprocedural chondropathies (M96.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.
- Site and laterality (page 60)
- Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
- Coding of Pathologic Fractures (page 61)
- Osteoporosis (page 61)
- Multisystem Inflammatory Syndrome (page 62)
All codes under M94
M94 can't be used on a claim. Pick a billable code below; grey headings group them.
- M94.0Chondrocostal junction syndrome [Tietze]
- M94.1Relapsing polychondritis
- M94.2Chondromalacia
- M94.20Chondromalacia, unspecified site
- M94.21Chondromalacia, shoulder
- M94.211Chondromalacia, right shoulder
- M94.212Chondromalacia, left shoulder
- M94.219Chondromalacia, unspecified shoulder
- M94.22Chondromalacia, elbow
- M94.221Chondromalacia, right elbow
- M94.222Chondromalacia, left elbow
- M94.229Chondromalacia, unspecified elbow
- M94.23Chondromalacia, wrist
- M94.231Chondromalacia, right wrist
- M94.232Chondromalacia, left wrist
- M94.239Chondromalacia, unspecified wrist
- M94.24Chondromalacia, joints of hand
- M94.241Chondromalacia, joints of right hand
- M94.242Chondromalacia, joints of left hand
- M94.249Chondromalacia, joints of unspecified hand
- M94.25Chondromalacia, hip
- M94.251Chondromalacia, right hip
- M94.252Chondromalacia, left hip
- M94.259Chondromalacia, unspecified hip
- M94.26Chondromalacia, knee
- M94.261Chondromalacia, right knee
- M94.262Chondromalacia, left knee
- M94.269Chondromalacia, unspecified knee
- M94.27Chondromalacia, ankle and joints of foot
- M94.271Chondromalacia, right ankle and joints of right foot
- M94.272Chondromalacia, left ankle and joints of left foot
- M94.279Chondromalacia, unspecified ankle and joints of foot
- M94.28Chondromalacia, other site
- M94.29Chondromalacia, multiple sites
- M94.3Chondrolysis
- M94.35Chondrolysis, hip
- M94.351Chondrolysis, right hip
- M94.352Chondrolysis, left hip
- M94.359Chondrolysis, unspecified hip
- M94.8Other specified disorders of cartilage
- M94.8XOther specified disorders of cartilage
- M94.8X0Other specified disorders of cartilage, multiple sites
- M94.8X1Other specified disorders of cartilage, shoulder
- M94.8X2Other specified disorders of cartilage, upper arm
- M94.8X3Other specified disorders of cartilage, forearm
- M94.8X4Other specified disorders of cartilage, hand
- M94.8X5Other specified disorders of cartilage, thigh
- M94.8X6Other specified disorders of cartilage, lower leg
- M94.8X7Other specified disorders of cartilage, ankle and foot
- M94.8X8Other specified disorders of cartilage, other site
- M94.8X9Other specified disorders of cartilage, unspecified sites
- M94.9Disorder of cartilage, unspecified
M94 MS-DRGs
As the principal diagnosis, the billable codes under M94 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 553 Bone Diseases and Arthropathies with MCC (24 of 40 codes)
- DRG 554 Bone Diseases and Arthropathies without MCC (24 of 40 codes)
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (15 of 40 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (15 of 40 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (15 of 40 codes)
- DRG 205 Other Respiratory System Diagnoses with MCC (1 of 40 codes)
- DRG 206 Other Respiratory System Diagnoses without MCC (1 of 40 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Cartilage Disorders
Cartilage is the tough but flexible tissue that covers the ends of your bones at a joint. It also gives shape and support to other parts of your body, such as your ears, nose and windpipe. Healthy cartilage helps you move by allowing your bones to glide over each other. It also protects bones by preventing them from rubbing against each other.
Read more about cartilage disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
