2026 ICD-10-CM Diagnosis Code M94.28Chondromalacia, other site
ICD-10-CM Codes›M00–M99›M91-M94›M94
- Billable — Valid for Submission
- Not Chronic
M94.28 is a billable ICD-10-CM diagnosis code for chondromalacia, other site. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. Coders also document this condition as tibial plateau chondromalacia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified bone disease and musculoskeletal deformities.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Tibial plateau chondromalacia
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Chondromalacia (systemic) - M94.20
- rib - M94.28
- vertebral joint - M94.28
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Chondromalacia(systemic)
- rib
- Chondromalacia(systemic)
- vertebral joint
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Cartilage Disorders
Cartilage is the tough but flexible tissue that covers the ends of your bones at a joint. It also gives shape and support to other parts of your body, such as your ears, nose and windpipe. Healthy cartilage helps you move by allowing your bones to glide over each other.
Read the full article at MedlinePlus
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Convert M94.28 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M94.28Overview
Is M94.28 (Chondromalacia) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report chondromalacia, other site on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M94.28 group to?
When chondromalacia, other site is the principal diagnosis on an inpatient stay, it groups to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M94.28?
Under the General Equivalence Mappings, chondromalacia, other site converts to ICD-9-CM 733.92 (chondromalacia). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
