M95.1 — Cauliflower ear
M95.1 is a non-billable header ICD-10-CM code for cauliflower ear. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- other acquired deformities of ear (H61.1)
Excludes2 inherited from the categories above M95.1
Also inherited, and the opposite of Excludes1: these conditions are not part of M95.1, but a patient can have both, so you may code both.
Written on M95 — Other acquired deformities of musculoskeletal system and connective tissue
- acquired absence of limbs and organs (Z89-Z90)
- acquired deformities of limbs (M20-M21)
- congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
- deforming dorsopathies (M40-M43)
- dentofacial anomalies [including malocclusion] (M26.-)
- postprocedural musculoskeletal disorders (M96.-)
Risk adjustment
M95.1 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 history
M95.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead M95.1
3 child codes. Green means billable.
Related codes at this level
Codes that share M95. If M95.1 is not quite right, the correct code is usually one of these.
- M95.0Acquired deformity of nose
- M95.2Other acquired deformity of head
- M95.3Acquired deformity of neck
- M95.4Acquired deformity of chest and rib
- M95.5Acquired deformity of pelvis
- M95.8Other specified acquired deformities of musculoskeletal system
- M95.9Acquired deformity of musculoskeletal system, unspecified
Questions about M95.1
- Is M95.1 a billable ICD-10-CM code?
- No. M95.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M95.1 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other disorders of the musculoskeletal system and connective tissue (M95).