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M12.122

Billable

Kaschin-Beck disease, left elbow

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

Is M12.122 an HCC code?

No. M12.122 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

M12.122 is the ICD-10-CM diagnosis code for kaschin-beck disease, left elbow. A chronic degenerative joint disease caused by selenium deficiency that affects the left elbow. M12.122 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).

M12.122 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.

Confirm left elbow is specifically documented as the affected site.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M12.122 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Confirm left elbow is specifically documented as the affected site
  • Document any associated selenium deficiency or endemic region exposure in the record

Code Hierarchy

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