M94.241
BillableChondromalacia, joints of right hand
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M94.241 an HCC code?
No. M94.241 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
M94.241 is the ICD-10-CM diagnosis code for chondromalacia, joints of right hand. Softening and degeneration of cartilage affecting the joints in the right hand, including fingers and palm joints. M94.241 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).
M94.241 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 applies to any joint in the right hand, not just one specific joint.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M94.241 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code applies to any joint in the right hand, not just one specific joint
- •Document which specific hand joints are affected for clinical clarity, though the code encompasses all hand joints