M94.2 — Chondromalacia
Is M94.2 billable?
No — M94.2 is a non-billable header code. M94.2 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M94.2.
Billable codes under this header
- M94.20Chondromalacia, unspecified site
- M94.28Chondromalacia, other site
- M94.29Chondromalacia, multiple sites
- M94.211Chondromalacia, right shoulder
- M94.212Chondromalacia, left shoulder
- M94.219Chondromalacia, unspecified shoulder
- M94.221Chondromalacia, right elbow
- M94.222Chondromalacia, left elbow
- M94.229Chondromalacia, unspecified elbow
- M94.231Chondromalacia, right wrist
- M94.232Chondromalacia, left wrist
- M94.239Chondromalacia, unspecified wrist
- M94.241Chondromalacia, joints of right hand
- M94.242Chondromalacia, joints of left hand
- M94.249Chondromalacia, joints of unspecified hand
- M94.251Chondromalacia, right hip
- M94.252Chondromalacia, left hip
- M94.259Chondromalacia, unspecified hip
- M94.261Chondromalacia, right knee
- M94.262Chondromalacia, left knee
- M94.269Chondromalacia, unspecified knee
- M94.271Chondromalacia, right ankle and joints of right foot
- M94.272Chondromalacia, left ankle and joints of left foot
- M94.279Chondromalacia, unspecified ankle and joints of foot
M94.2 at a glance
| Code | M94.2 |
|---|---|
| Description | Chondromalacia |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M94.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M94.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Softening › cartilage
Excludes1 — never code together
The conditions below can never be reported together with M94.2 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- chondromalacia patellae (M22.4)
Excludes1 — never code together — inherited from M91-M94
The conditions below can never be reported together with M94.2 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.-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M94.2, but a patient may have both at the same time. When documentation supports it, M94.2 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)
What codes fall under M94.2? (10)
- M94.20Chondromalacia, unspecified site
- M94.21Chondromalacia, shouldernot billable
- M94.22Chondromalacia, elbownot billable
- M94.23Chondromalacia, wristnot billable
- M94.24Chondromalacia, joints of handnot billable
- M94.25Chondromalacia, hipnot billable
- M94.26Chondromalacia, kneenot billable
- M94.27Chondromalacia, ankle and joints of footnot billable
- M94.28Chondromalacia, other site
- M94.29Chondromalacia, multiple sites
How long has M94.2 existed?
M94.2 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with M94.2?
ICD-10-CM declares these codes mutually exclusive with M94.2 — exactly one of each pair can be correct for a given encounter.