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ICD-10-CM 2027

ICD-10 code for sacroiliac joint chondromalacia

M94.259

Chondromalacia, unspecified hip

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Chondromalacia (systemic) › sacroiliac joint”. Page updated September 29, 2026.

About coding sacroiliac joint chondromalacia

The ICD-10-CM code for sacroiliac joint chondromalacia is M94.259 (Chondromalacia, unspecified hip).

Within M94.25, choose M94.259 (unspecified hip) only when documentation doesn't support a more specific option: right hip (M94.251) and left hip (M94.252).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 553 (Bone Diseases and Arthropathies with MCC, relative weight 1.2494) and DRG 554 (Bone Diseases and Arthropathies without MCC, relative weight 0.8331), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about sacroiliac joint chondromalacia ICD-10 codes

What is the ICD-10 code for sacroiliac joint chondromalacia?

M94.259 — Chondromalacia, unspecified hip.

Is M94.259 billable?

Yes. M94.259 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can M94.259 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M94.259 as a principal diagnosis.

Is M94.259 a CC or MCC?

No. M94.259 is neither a CC nor an MCC under MS-DRG v44.0.