M95.4
M95.4: Acquired deformity of chest and rib
Billable / specific codeICD-10-CM
M95.4 is a billable, specific ICD-10-CM code for acquired deformity of chest and rib. It is valid for submission on a claim.
Check M95.4 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M95.4
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.
Medicare coverage
M95.4 is named in 10 Medicare coverage policies: 3 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Barrel chest
- Concavity chest wall
- Shoemaker's chest
- Deformity›chest(acquired) (wall)
- Deformity›rib(acquired)
- Deformity›sternum(acquired)
- Deformity›thorax(acquired) (wall)
- Depression›chest wall
- Depression›sternum
- Funnel›breast(acquired)
- Funnel›chest(acquired)
- Pigeon›breast or chest(acquired)
Code history
Unchanged in every release from FY2024 to FY2027.