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M94.269

Billable

Chondromalacia, unspecified knee

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Softening and degeneration of cartilage in the knee joint when the specific side (left or right) is not documented or cannot be determined.

Coding Tips

  • •Use only when laterality is truly unspecified in the medical record
  • •Query provider for clarification on which knee is affected, as bilateral involvement would require separate codes

Code Hierarchy

└M94Other disorders of cartilage└M94.2Chondromalacia└M94.26Chondromalacia, knee└M94.269Chondromalacia, unspecified knee
└M94.269Chondromalacia, unspecified knee

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