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M13.88

M13.88Other specified arthritis, other site

Billable / specific codeICD-10-CM

M13.88 is a billable, specific ICD-10-CM code for other specified arthritis, other site. It is valid for submission on a claim.

Excludes1 inherited from the categories above M13.88

These are not written on M13.88, but they bind it: a note on a category applies to every code beneath it. Billing M13.88 with anything listed here is a denial.

Written on M13.8 Other specified arthritis

Written on M13 Other arthritis

Risk adjustment

M13.88 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.

Medicare coverage

M13.88 is named in 10 Medicare coverage policies 3 listing it as supporting medical necessity, and 7 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
  • A58883Billing 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

How M13.88 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 M13.88.

  • Arthritis, arthriticspecified form NECspecified joint NEC

Code history

M13.88 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M13.8. If M13.88 is not quite right, the correct code is usually one of these.

Questions about M13.88

Is M13.88 a billable ICD-10-CM code?
Yes. M13.88 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M13.88 sit in the tabular list?
Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).
What cannot be coded together with M13.88?
M13.88 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above M13.88 (M13.8, M13) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.