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M21 ICD-10-CM Code: Other acquired deformities of limbs

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other joint disorders (M20-M25)

M21

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other acquired deformities of limbs

Other acquired deformities of limbs

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
M2Other joint disorders (M20-M25)
M21Other acquired deformities of limbs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M21 in this effective period.

Excludes 2

Official
  • acquired deformities of fingers or toes (M20.-)
  • coxa plana (M91.2)

Related Child Codes

Official
M21.0Valgus deformity, not elsewhere classified
M21.1Varus deformity, not elsewhere classified
M21.2Flexion deformity
M21.3Wrist or foot drop (acquired)
M21.4Flat foot [pes planus] (acquired)

Includes

Official

ICD-10-CM does not list Includes notes for M21 in this effective period.

Excludes 1

Official
  • acquired absence of limb (Z89.-)
  • congenital absence of limbs (Q71-Q73)
  • congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M21 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M21 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M21 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

M21 is the ICD-10-CM diagnosis code for other acquired deformities of limbs. M21 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other joint disorders (m20-m25).

Header codes like M21 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M21's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • acquired absence of limb (Z89.-)
  • congenital absence of limbs (Q71-Q73)
  • congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)

Excludes 2, Not included here, may code separately

  • acquired deformities of fingers or toes (M20.-)
  • coxa plana (M91.2)

Child Codes

Code Hierarchy

M21Other acquired deformities of limbs
M21Other acquired deformities of limbs

Work M21 in HCC Buddy

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