M00.16
M00.16 — Pneumococcal arthritis, knee
Non-billable headerICD-10-CM
M00.16 is a non-billable header ICD-10-CM code for pneumococcal arthritis, knee. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M00.16 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M00.16
3 child codes. Green means billable.
Related codes at this level
Codes that share M00.1. If M00.16 is not quite right, the correct code is usually one of these.
- M00.10Pneumococcal arthritis, unspecified joint
- M00.11Pneumococcal arthritis, shoulder
- M00.12Pneumococcal arthritis, elbow
- M00.13Pneumococcal arthritis, wrist
- M00.14Pneumococcal arthritis, hand
- M00.15Pneumococcal arthritis, hip
- M00.17Pneumococcal arthritis, ankle and foot
- M00.18Pneumococcal arthritis, vertebrae
- M00.19Pneumococcal polyarthritis
Questions about M00.16
- Is M00.16 a billable ICD-10-CM code?
- No. M00.16 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M00.16 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Infectious arthropathies (M00-M02).