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M99 ICD-10-CM Code: Biomechanical lesions, not elsewhere classified

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Biomechanical lesions, not elsewhere classified (M99)

M99

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

Biomechanical lesions, not elsewhere classified

Biomechanical lesions, not elsewhere classified

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M9Biomechanical lesions, not elsewhere classified (M99)
M99Biomechanical lesions, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M99 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M99 in this effective period.

Related Child Codes

Official
M99.0Segmental and somatic dysfunction
M99.1Subluxation complex (vertebral)
M99.2Subluxation stenosis of neural canal
M99.3Osseous stenosis of neural canal
M99.4Connective tissue stenosis of neural canal

Includes

Official

ICD-10-CM does not list Includes notes for M99 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M99 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M99 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M99 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M99 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.

What This Code Means

M99 is the ICD-10-CM diagnosis code for biomechanical lesions, not elsewhere classified. M99 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering biomechanical lesions, not elsewhere classified (m99).

Header codes like M99 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 M99'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 M99 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

M99Biomechanical lesions, not elsewhere classified
M99Biomechanical lesions, not elsewhere classified

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