2027 ICD-10-CM Diagnosis Code M11.28Other chondrocalcinosis, vertebrae

ICD-10-CM Codes›M00–M99›M05-M14›M11

ICD-10-CM M11.28
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M11.28 is a billable ICD-10-CM diagnosis code for other chondrocalcinosis, vertebrae. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 553 through 554. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crystal arthropathies (excluding gout).

Code Identity

ICD-10-CM Code
M11.28
Billable Status
Yes — Valid for Submission
Code Describes
Other chondrocalcinosis, vertebrae
Short Description
Other chondrocalcinosis, vertebrae
Same as the full description in the CMS dataset.
Parent Code
M11.2
Other chondrocalcinosis

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM05-M14Inflammatory polyarthropathies
CategoryM11Other crystal arthropathies
This CodeM11.28Other chondrocalcinosis, vertebrae

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M11.28: its own notes plus those printed at block M00-M25 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block M00-M25 applies to 2,249 codes
  • Disorders affecting predominantly peripheral (limb) joints

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name M11.28, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming M11.28: they are not reported together with it, unless the two conditions are unrelated.

  • E83.5 Disorders of calcium metabolism
    chondrocalcinosis (M11.1-M11.2) names M11.1-M11.2, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming M11.28: its condition is not part of those codes, and both may be reported when the patient has both.

  • M24.1 Other articular cartilage disorders
    chondrocalcinosis (M11.1-, M11.2-) names M11.2-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS034
Crystal arthropathies (excluding gout)
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Gout

Gout is a common type of inflammatory arthritis. It causes pain, swelling, and redness in one or more joints. It usually happens as a flare, which can last for a week or two and then gets better. The flares often begin in your big toe or a lower limb.

The full article covers:

  • What is gout?
  • What causes gout?
  • Who is more likely to develop gout?
  • What are the symptoms of gout?
  • How is gout diagnosed?
  • What are the treatments for gout?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M11.28 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
712.38 Chondrocalc NOS-oth site
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M11.28Overview

What is the ICD-10 code for other chondrocalcinosis, vertebrae?

The ICD-10-CM code for other chondrocalcinosis, vertebrae is M11.28 (sometimes written as M1128). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M11.28 (Other chondrocalcinosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other chondrocalcinosis, vertebrae on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does M11.28 group to?

When other chondrocalcinosis, vertebrae is the principal diagnosis on an inpatient stay, it groups to MS-DRG 554, 553, with relative weights from 0.8328 to 1.2492 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M11.28?

Under the General Equivalence Mappings, other chondrocalcinosis, vertebrae converts to ICD-9-CM 712.38 (chondrocalc NOS-oth site). The mapping is approximate, so confirm the match fits the documentation.