2027 ICD-10-CM Diagnosis Code M94.8X2Other specified disorders of cartilage, upper arm
ICD-10-CM Codes›M00–M99›M91-M94›M94
- Billable — Valid for Submission
- Not Chronic
M94.8X2 is a billable ICD-10-CM diagnosis code for other specified disorders of cartilage, upper arm. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified bone disease and musculoskeletal deformities.
Code Identity
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M94.8X2: its own notes plus those printed at block M91-M94 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- postprocedural chondropathies (M96.-)
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.
- 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.
- 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.
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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M94.8X2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M94.8X2Overview
What is the ICD-10 code for other specified disorders of cartilage, upper arm?
The ICD-10-CM code for other specified disorders of cartilage, upper arm is M94.8X2 (sometimes written as M948X2). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is M94.8X2 (Other specified disorders of cartilage) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of cartilage, upper arm on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does M94.8X2 group to?
When other specified disorders of cartilage, upper arm is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.
Can M94.8X2 be reported with a code from M96?
Not as a rule. The Excludes1 note at block M91-M94, which applies to M94.8X2, lists "postprocedural chondropathies (M96.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of M94.8X2?
Under the General Equivalence Mappings, other specified disorders of cartilage, upper arm converts to ICD-9-CM 733.99 (bone & cartilage dis NEC). The mapping is approximate, so confirm the match fits the documentation.
