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M91 ICD-10-CM Code: Juvenile osteochondrosis of hip and pelvis

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Chondropathies (M91-M94)

M91

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

Juvenile osteochondrosis of hip and pelvis

Juvenile osteochondrosis of hip and pelvis

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
M9Chondropathies (M91-M94)
M91Juvenile osteochondrosis of hip and pelvis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M91 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M91 in this effective period.

Related Child Codes

Official
M91.0Juvenile osteochondrosis of pelvis
M91.1Juvenile osteochondrosis of head of femur [Legg-Calve-Perthes]
M91.2Coxa plana
M91.3Pseudocoxalgia
M91.4Coxa magna

Includes

Official

ICD-10-CM does not list Includes notes for M91 in this effective period.

Excludes 1

Official
  • slipped upper femoral epiphysis (nontraumatic) (M93.0-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M91 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M91 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M91 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

M91 is the ICD-10-CM diagnosis code for juvenile osteochondrosis of hip and pelvis. M91 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering chondropathies (m91-m94).

Header codes like M91 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 M91'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 M91 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • slipped upper femoral epiphysis (nontraumatic) (M93.0-)

Child Codes

Code Hierarchy

M91Juvenile osteochondrosis of hip and pelvis
M91Juvenile osteochondrosis of hip and pelvis

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