M21 ICD-10-CM Code: Other acquired deformities of limbs
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 guidanceOther 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
Inclusion Terms
OfficialICD-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
Includes
OfficialICD-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
OfficialICD-10-CM does not list Code First sequencing instructions for M21 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M21 in this effective period.
Code Also
OfficialICD-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.