M95.1

M95.1: Cauliflower ear

Non-billable headerICD-10-CM

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

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

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

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 M95.1

3 child codes. Green means billable.