M93.004 — Unspecified slipped upper femoral epiphysis (nontraumatic), bilateral hips
Is M93.004 billable?
Yes, but M93.004 is an unspecified code. M93.004 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M93.004 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M93.004 — the more specific alternatives are listed below.
M93.004 at a glance
| Code | M93.004 |
|---|---|
| Description | Unspecified slipped upper femoral epiphysis (nontraumatic), bilateral hips |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M93.004 group to?
M93.004 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 553Bone Diseases and Arthropathies with MCCmedical
- 554Bone Diseases and Arthropathies without MCCmedical
How is M93.004 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M93.00, the nearest indexed parent of M93.004. Use them to find the family, then select the specific code.
- Slipped, slipping › epiphysis › upper femoral[SUFE]
- Slipped, slipping › epiphysis › capital femoral › nontraumatic
Excludes1 — never code together — inherited from M91-M94
The conditions below can never be reported together with M93.004 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- postprocedural chondropathies (M96.-)
Use additional code — inherited from M93.0
Report an additional code alongside M93.004 to fully describe the condition. M93.004 is sequenced first.
- code for associated chondrolysis (M94.3)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M93.004, but a patient may have both at the same time. When documentation supports it, M93.004 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M93
The conditions below are not part of M93.004, but a patient may have both at the same time. When documentation supports it, M93.004 and the excluded code may both be reported.
- osteochondrosis of spine (M42.-)
How long has M93.004 existed?
M93.004 first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.