Is M94.272 a billable ICD-10-CM code?

Yes. M94.272 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M94.272 sit in the tabular list?

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

What cannot be coded together with M94.272?

M94.272 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M94.272 (M94.2) and apply to it just the same.

M94.272

M94.272 — Chondromalacia, left ankle and joints of left foot

Billable / specific codeICD-10-CMleft

M94.272 is a billable, specific ICD-10-CM code for chondromalacia, left ankle and joints of left foot. It is valid for submission on a claim.

Excludes1 inherited from the categories above M94.272

These are not written on M94.272, but they bind it: a note on a category applies to every code beneath it. Billing M94.272 with anything listed here is a denial.

Written on M94.2 — Chondromalacia

chondromalacia patellae (M22.4)

Risk adjustment

M94.272 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.

Medicare coverage

M94.272 is named in 11 Medicare coverage policies — 4 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

Code history

M94.272 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M94.27. If M94.272 is not quite right, the correct code is usually one of these.

Questions about M94.272

Is M94.272 a billable ICD-10-CM code?: Yes. M94.272 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M94.272 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Chondropathies (M91-M94).
What cannot be coded together with M94.272?: M94.272 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M94.272 (M94.2) and apply to it just the same.