Question 1

What is ICD-10 code M93.014?

Accepted Answer

M93.014 is the ICD-10-CM diagnosis code for acute slipped upper femoral epiphysis, stable (nontraumatic), bilateral hips. A sudden slipping of the growth plate at the top of the thighbone in an adolescent occurring on both sides, where the bone heads remain stable in their sockets. M93.014 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).

M93.014 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.

This code requires documentation of bilateral involvement; if only one side is affected, use the unilateral codes instead.

Question 2

Is M93.014 an HCC code?

Accepted Answer

No. M93.014 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is M93.014 billable?

Accepted Answer

Yes. M93.014 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. M93.014 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for M93.014?

Accepted Answer

M93.014 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards M93.014 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting M93.014?

Accepted Answer

This code requires documentation of bilateral involvement; if only one side is affected, use the unilateral codes instead Bilateral SUFE is less common than unilateral; ensure documentation clearly supports both-sided involvement before assigning this code

M93.014

Is M93.014 an HCC code?

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