ICD-10 M95
Non-Billable HeaderOther acquired deformities of musculoskeletal system and connective tissue
About ICD-10-CM M95
ICD-10-CM code M95 represents Other acquired deformities of musculoskeletal system and connective tissue. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M95). The 2026 edition of ICD-10-CM M95 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of M95, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- 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.-)
Medicare LCD Coverage for M95
Local Coverage Determinations (LCDs) from CMS MACs that list M95 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M95.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M95 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M95
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M95
Other codes in section M95 (Other disorders of the musculoskeletal system and connective tissue).
ICD-10 M95, Billing FAQ
Is ICD-10 code M95 billable? +
No, M95 is a non-billable header code. Use a more specific child code from block M95 when submitting claims.
What codes are Type 2 Excludes for M95? +
Type 2 Excludes (may be coded together when both conditions exist): acquired absence of limbs and organs (Z89-Z90); acquired deformities of limbs (M20-M21); congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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