2027 ICD-10-CM Diagnosis Code M95.11Cauliflower ear, right ear

ICD-10-CM Codes›M00–M99›M95›M95

ICD-10-CM M95.11
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M95.11 is a billable ICD-10-CM diagnosis code for cauliflower ear, right ear. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 154 through 156. Coders also document this condition as acquired cauliflower ear of right pinna. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acquired deformities (excluding foot).

Code Identity

ICD-10-CM Code
M95.11
Billable Status
Yes — Valid for Submission
Code Describes
Cauliflower ear, right ear
Short Description
Cauliflower ear, right ear
Same as the full description in the CMS dataset.
Parent Code
M95.1
Cauliflower ear

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM95Other disorders of the musculoskeletal system and connective tissue
CategoryM95Other acquired deformities of musculoskeletal system and connective tissue
This CodeM95.11Cauliflower ear, right ear

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acquired cauliflower ear of right pinna
  • Acquired deformity of pinna
  • Acquired deformity of right ear
  • Acquired deformity of right pinna
  • Cauliflower ear

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M95.11: its own notes plus those printed at M95.1, M95, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

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 M95.1 Cauliflower ear applies to 3 codes
  • other acquired deformities of ear (H61.1)
From M95 Other acquired deformities of musculoskeletal system and connective tissue applies to 10 codes
  • 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.-)
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 M95.11, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming M95.11: its condition is not part of those codes, and both may be reported when the patient has both.

  • H61.1 Noninfective disorders of pinna
    cauliflower ear (M95.1-) names M95.1-, which includes this code
  • H61.11 Acquired deformity of pinna
    cauliflower ear (M95.1-) names M95.1-, which includes this code

Clinical ClassificationClinical

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

CCSR MUS023
Acquired deformities (excluding foot)
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Ear Disorders

An ear disorder is any condition that changes or harms the shape or structure of your ear. This can include abnormal ear shapes you're born with, injuries that change your ear's shape, and a growth on or in the ear.

The full article covers:

  • What is an ear disorder?
  • What causes ear disorders?
  • What are the symptoms of ear disorders?
  • How are ear disorders diagnosed?
  • How are ear disorders treated?
  • Can ear disorders be prevented?

Read the full article at MedlinePlus

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

Convert M95.11 to ICD-9-CMHistory

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

ICD-9-CM
738.7 Cauliflower ear
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 M95.11Overview

What is the ICD-10 code for cauliflower ear, right ear?

The ICD-10-CM code for cauliflower ear, right ear is M95.11 (sometimes written as M9511). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M95.11 (Cauliflower ear) a billable code?

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

What MS-DRG does M95.11 group to?

When cauliflower ear, right ear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 156, 155, 154, with relative weights from 0.6656 to 1.5916 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M95.11?

Under the General Equivalence Mappings, cauliflower ear, right ear converts to ICD-9-CM 738.7 (cauliflower ear). The mapping is approximate, so confirm the match fits the documentation.