M95.1
Non-Billable

Cauliflower ear

Non-Billable / Non-Specific Code

What is Cauliflower ear?

ICD-10-CM M95.1 is the diagnosis code for Cauliflower ear. This code falls under the section "Other disorders of the musculoskeletal system and connective tissue" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for M95.1

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M95.1. If the patient has both, code each condition separately:

  • other acquired deformities of ear (H61.1)

ICD-10-CM Code Hierarchy

Understanding where M95.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
M95.10Cauliflower ear, unspecified earBillableM95.11Cauliflower ear, right earBillableM95.12Cauliflower ear, left earBillable
Related Codes

Frequently Asked Questions

Is M95.1 a billable ICD-10-CM code?

No, M95.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M95.1 mean?

M95.1 is the ICD-10-CM diagnosis code for "Cauliflower ear". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M95.1?

The parent code of M95.1 is M95 ("Other acquired deformities of musculoskeletal system and connective tissue"). M95.1 provides a more specific classification within this category.

What section is M95.1 in?

M95.1 is located in Section M95 — "Other disorders of the musculoskeletal system and connective tissue" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M95.1?

M95.1 has 3 sub-code(s) that provide more specific detail: M95.10, M95.11, M95.12.

When should I use M95.1?

Use M95.1 when the patients documented diagnosis matches "Cauliflower ear" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Cauliflower ear?

The ICD-10-CM code for Cauliflower ear is M95.1.

Can M95.1 be used for primary diagnosis?

No, M95.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M95.1 in?

M95.1 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M95.1 valid for 2026?

Yes, M95.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM95.0Acquired deformity of noseNext →M95.10Cauliflower ear, unspecified ear
Code Details
M95.1
Cauliflower ear
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M95 — Other disorders of the musculoskeletal system and connective tissue
2026 ICD-10-CM