M19.1
M19.1 — Post-traumatic osteoarthritis of other joints
Non-billable headerICD-10-CM
M19.1 is a non-billable header ICD-10-CM code for post-traumatic osteoarthritis of other joints. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with M19.1
These codes carry an Excludes1 note pointing at M19.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M19.1 alone.
- M12.5Traumatic arthropathy
Risk adjustment
M19.1 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 M19.1
6 child codes. Green means billable.
Related codes at this level
Codes that share M19. If M19.1 is not quite right, the correct code is usually one of these.
Questions about M19.1
- Is M19.1 a billable ICD-10-CM code?
- No. M19.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M19.1 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Osteoarthritis (M15-M19).