ICD-10 · PDGM grouping
M95 Other acquired deformities of musculoskeletal system and connective tissue
All 10 codes in the M95 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
10
Can lead a claim
7
Cannot lead a claim
3
What CMS assigns to M95
7 of the 10 codes group to Musculoskeletal Rehabilitation (4) and MMTA - Other (3); 3 are assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 7 of the 10 can lead a claim.
Every code in M95
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| M95.0 | Acquired deformity of nose | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M95.1 Cauliflower ear | ||||
| M95.10 | Cauliflower ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M95.11 | Cauliflower ear, right ear | Can lead a claim | A | None |
| M95.12 | Cauliflower ear, left ear | Can lead a claim | A | None |
| M95.2 | Other acquired deformity of head | Can lead a claim | A | None |
| M95.3 | Acquired deformity of neck | Can lead a claim | E | None |
| M95.4 | Acquired deformity of chest and rib | Can lead a claim | E | None |
| M95.5 | Acquired deformity of pelvis | Can lead a claim | E | None |
| M95.8 | Other specified acquired deformities of musculoskeletal systemCMS: Oth acquired deformities of musculoskeletal system | Can lead a claim | E | None |
| M95.9 | Acquired deformity of musculoskeletal system, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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