M95.5 — Acquired deformity of pelvis
Is M95.5 billable?
Yes — M95.5 is billable for FY2027. M95.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M95.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M95.5 at a glance
| Code | M95.5 |
|---|---|
| Description | Acquired deformity of pelvis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M95.5 group to?
M95.5 sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
How is M95.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M95.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Nägele's pelvis
- Platypelloid pelvis
- Contraction, contracture, contracted › pelvis (s)
- Deformity › ilium
- Deformity › ischium
- Deformity › pelvis, pelvic
- Flat › pelvis
- Funnel › pelvis
- Infancy, infantile, infantilism › pelvis
- Tipping › pelvis
Excludes1 — never code together
The conditions below can never be reported together with M95.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- maternal care for known or suspected disproportion (O33.-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M95.5, but a patient may have both at the same time. When documentation supports it, M95.5 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 M95
The conditions below are not part of M95.5, but a patient may have both at the same time. When documentation supports it, M95.5 and the excluded code may both be reported.
- 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.-)
How long has M95.5 existed?
M95.5 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 M95.5?
ICD-10-CM declares these codes mutually exclusive with M95.5 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to M95.5?
What other codes are in the M95 family? (7)
- M95.0Acquired deformity of nose
- M95.1Cauliflower earnot billable
- M95.2Other acquired deformity of head
- M95.3Acquired deformity of neck
- M95.4Acquired deformity of chest and rib
- M95.8Other specified acquired deformities of musculoskeletal system
- M95.9Acquired deformity of musculoskeletal system, unspecified