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M21.4

M21.4: Flat foot [pes planus] (acquired)

Non-billable headerICD-10-CM

M21.4 is a non-billable header ICD-10-CM code for flat foot [pes planus] (acquired). It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • congenital pes planus (Q66.5-)

Excludes1 inherited from the categories above M21.4

A category’s note binds every code beneath it.

Written on M21: Other acquired deformities of limbs

  • acquired absence of limb (Z89.-)
  • congenital absence of limbs (Q71-Q73)
  • congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)

Excludes2 inherited from the categories above M21.4

Not part of this code, but both may be coded when both are present.

Written on M21: Other acquired deformities of limbs

  • acquired deformities of fingers or toes (M20.-)
  • coxa plana (M91.2)

Other codes that can never be billed with M21.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • M23Internal derangement of knee
  • Q66.5Congenital pes planus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M21.4

3 child codes. Green means billable.

Other codes under M21

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.