M95.10 — Cauliflower ear, unspecified ear
M95.10 is a billable, specific ICD-10-CM code for cauliflower ear, unspecified ear. It is valid for submission on a claim.
Excludes2 inherited from the categories above M95.10
Also inherited, and the opposite of Excludes1: these conditions are not part of M95.10, 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
M95.10 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
M95.10 is named in 7 Medicare coverage policies — 0 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
M95.10 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 M95.1. If M95.10 is not quite right, the correct code is usually one of these.
Questions about M95.10
- Is M95.10 a billable ICD-10-CM code?
- Yes. M95.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M95.10 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).