Is M94.3 a billable ICD-10-CM code?

No. M94.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M94.3 sit in the tabular list?

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

M94.3

M94.3 — Chondrolysis

Non-billable headerICD-10-CM

M94.3 is a non-billable header ICD-10-CM code for chondrolysis. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

any associated slipped upper femoral epiphysis (nontraumatic) (M93.0-)

Risk adjustment

M94.3 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 M94.3

1 child code. Green means billable.

M94.35Chondrolysis, hip

Related codes at this level

Codes that share M94. If M94.3 is not quite right, the correct code is usually one of these.

Questions about M94.3

Is M94.3 a billable ICD-10-CM code?: No. M94.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M94.3 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Chondropathies (M91-M94).