Is M94 a billable ICD-10-CM code?

No. M94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M94 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Chondropathies (M91-M94).

M94

M94 — Other disorders of cartilage

Non-billable headerICD-10-CM

M94 is a non-billable header ICD-10-CM code for other disorders of cartilage. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M94 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M94

6 child codes. Green means billable.

M94.0Chondrocostal junction syndrome [Tietze]
M94.1Relapsing polychondritis
M94.2Chondromalacia
M94.3Chondrolysis
M94.8Other specified disorders of cartilage
M94.9Disorder of cartilage, unspecified

Questions about M94

Is M94 a billable ICD-10-CM code?: No. M94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M94 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Chondropathies (M91-M94).