ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M95 includes acquired deformities of the musculoskeletal system and connective tissue such as acquired limb deformities, chest wall deformities, and other noncongenital structural abnormalities. These ICD-10-CM diagnosis codes are used to document clinical scenarios where structural changes affect function, mobility, or appearance, capturing disease severity, anatomic site, and associated clinical complexity. Accurate coding within the ICD-10-CM M95 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

Customize your policy alerts

Sign up for ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

ICD-10-CM M95: Other Acquired Deformities Of Musculoskeletal System And Connective Tissue Overview

The ICD-10-CM M95 group represents acquired deformities affecting the musculoskeletal system and connective tissues, including conditions such as acquired deformity of limb, chest wall, or other soft tissue structures. These diagnoses target structural and functional alterations of bones, joints, muscles, or connective tissues that developed after birth rather than congenital anomalies. Accurate coding matters for reimbursement because it links documented clinical findings to appropriate claim adjudication and ensures severity and treatment complexity are captured.

When to Use

Use a code from this group when a patient presents with a documented noncongenital deformity of the musculoskeletal system or connective tissue that affects function, mobility, or appearance. Assign codes that best describe the anatomical site and any specified details about severity or laterality as recorded in the clinical documentation.

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
M95.0	Acquired deformity of nose
M95.10	Cauliflower ear, unspecified ear
M95.11	Cauliflower ear, right ear
M95.12	Cauliflower ear, left ear
M95.2	Other acquired deformity of head
M95.3	Acquired deformity of neck
M95.4	Acquired deformity of chest and rib
M95.5	Acquired deformity of pelvis
M95.8	Other specified acquired deformities of musculoskeletal system
M95.9	Acquired deformity of musculoskeletal system, unspecified

DRG Codes

6 rows

DRG Code	Description
154	Other Ear, Nose, Mouth and Throat Diagnoses with MCC
155	Other Ear, Nose, Mouth and Throat Diagnoses with CC
156	Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents to the orthopedic clinic with progressive limitation of wrist motion and painful crepitus months after a distal radius fracture that healed with malunion; on exam there is decreased range of motion and deformity of the wrist joint. The clinician documents an acquired deformity of the wrist secondary to the healed fracture as the cause of functional impairment, and assigns a code from this group to capture the other acquired musculoskeletal deformity. Typical codes: M95.0, M95.2
An elderly nursing home resident is evaluated for a stiff, rounded shoulder and limited abduction that has developed insidiously over several years, unrelated to acute trauma; the condition contributes to difficulty with activities of daily living. The evaluator records an acquired deformity of the shoulder girdle (chronic contracture/adhesive changes) as a chronic musculoskeletal deformity requiring coding from this group to reflect the long-standing impairment. Typical codes: M95.11, M95.12
A patient recovering from surgical debridement for necrotizing soft tissue infection is seen in outpatient follow-up with persistent foot equinus and fixed deformity that impairs ambulation; the deformity is a complication of the disease and its treatment. The provider documents the acquired lower-extremity deformity as a post-infectious/post-surgical musculoskeletal impairment, and assigns an appropriate code from this group to indicate the complication. Typical codes: M95.3, M95.5

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
M95.0	Acquired deformity of nose
M95.10	Cauliflower ear, unspecified ear
M95.11	Cauliflower ear, right ear
M95.12	Cauliflower ear, left ear
M95.2	Other acquired deformity of head
M95.3	Acquired deformity of neck
M95.4	Acquired deformity of chest and rib
M95.5	Acquired deformity of pelvis
M95.8	Other specified acquired deformities of musculoskeletal system
M95.9	Acquired deformity of musculoskeletal system, unspecified

DRG Codes

6 rows

DRG Code	Description
154	Other Ear, Nose, Mouth and Throat Diagnoses with MCC
155	Other Ear, Nose, Mouth and Throat Diagnoses with CC
156	Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents to the orthopedic clinic with progressive limitation of wrist motion and painful crepitus months after a distal radius fracture that healed with malunion; on exam there is decreased range of motion and deformity of the wrist joint. The clinician documents an acquired deformity of the wrist secondary to the healed fracture as the cause of functional impairment, and assigns a code from this group to capture the other acquired musculoskeletal deformity. Typical codes: M95.0, M95.2
An elderly nursing home resident is evaluated for a stiff, rounded shoulder and limited abduction that has developed insidiously over several years, unrelated to acute trauma; the condition contributes to difficulty with activities of daily living. The evaluator records an acquired deformity of the shoulder girdle (chronic contracture/adhesive changes) as a chronic musculoskeletal deformity requiring coding from this group to reflect the long-standing impairment. Typical codes: M95.11, M95.12
A patient recovering from surgical debridement for necrotizing soft tissue infection is seen in outpatient follow-up with persistent foot equinus and fixed deformity that impairs ambulation; the deformity is a complication of the disease and its treatment. The provider documents the acquired lower-extremity deformity as a post-infectious/post-surgical musculoskeletal impairment, and assigns an appropriate code from this group to indicate the complication. Typical codes: M95.3, M95.5

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview

Sign up for ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview policy alerts

ICD-10-CM M95: Other Acquired Deformities Of Musculoskeletal System And Connective Tissue Overview

ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview

Sign up for ICD-10-CM Code For Other Acquired Deformities Of Musculoskeletal System And Connective Tissue: Group Overview policy alerts

ICD-10-CM M95: Other Acquired Deformities Of Musculoskeletal System And Connective Tissue Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

What conditions are included in the ICD-10-CM M95 group?

How does accurate coding in the `M95` group affect reimbursement?

Which specific `M95` codes apply to cauliflower ear?

What DRGs are related to diagnoses in the `M95` group?

What distinguishes diagnoses in `M95` from congenital deformities?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

What conditions are included in the ICD-10-CM M95 group?

How does accurate coding in the `M95` group affect reimbursement?

Which specific `M95` codes apply to cauliflower ear?

What DRGs are related to diagnoses in the `M95` group?

What distinguishes diagnoses in `M95` from congenital deformities?

References