Is M00.8 a billable ICD-10-CM code?

No. M00.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M00.8 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Infectious arthropathies (M00-M02).

M00.8

M00.8 — Arthritis and polyarthritis due to other bacteria

Non-billable headerICD-10-CM

M00.8 is a non-billable header ICD-10-CM code for arthritis and polyarthritis due to other bacteria. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code (B96) to identify bacteria

Excludes2 inherited from the categories above M00.8

Also inherited, and the opposite of Excludes1: these conditions are not part of M00.8, but a patient can have both, so you may code both.

Written on M00 — Pyogenic arthritis

infection and inflammatory reaction due to internal joint prosthesis (T84.5-)

Risk adjustment

M00.8 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 history

M00.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead M00.8

10 child codes. Green means billable.

Related codes at this level

Codes that share M00. If M00.8 is not quite right, the correct code is usually one of these.

Questions about M00.8

Is M00.8 a billable ICD-10-CM code?: No. M00.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M00.8 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Infectious arthropathies (M00-M02).