M00.00 — Staphylococcal arthritis, unspecified joint
M00.00 is a billable, specific ICD-10-CM code for staphylococcal arthritis, unspecified joint. It is valid for submission on a claim.
Risk adjustment
M00.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
M00.00 is named in 10 Medicare coverage policies — 4 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M00.00 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M00.00.
- Arthritis, arthritic›staphylococcal
Related codes at this level
Codes that share M00.0. If M00.00 is not quite right, the correct code is usually one of these.
- M00.01Staphylococcal arthritis, shoulder
- M00.02Staphylococcal arthritis, elbow
- M00.03Staphylococcal arthritis, wrist
- M00.04Staphylococcal arthritis, hand
- M00.05Staphylococcal arthritis, hip
- M00.06Staphylococcal arthritis, knee
- M00.07Staphylococcal arthritis, ankle and foot
- M00.08Staphylococcal arthritis, vertebrae
- M00.09Staphylococcal polyarthritis
Questions about M00.00
- Is M00.00 a billable ICD-10-CM code?
- Yes. M00.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M00.00 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Infectious arthropathies (M00-M02).