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M12.121

Billable

Kaschin-Beck disease, right elbow

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is M12.121 an HCC code?

No. M12.121 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

M12.121 is the ICD-10-CM diagnosis code for kaschin-beck disease, right elbow. A chronic degenerative joint disease caused by selenium deficiency that affects the right elbow. M12.121 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering inflammatory polyarthropathies (m05-m14).

M12.121 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Verify documentation confirms right elbow involvement and selenium deficiency etiology.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M12.121 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify documentation confirms right elbow involvement and selenium deficiency etiology
  • This rare condition requires careful documentation of the affected joint

Code Hierarchy

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