Is M19.222 a billable ICD-10-CM code?

Yes. M19.222 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M19.222 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Osteoarthritis (M15-M19).

What cannot be coded together with M19.222?

M19.222 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 M19.222 (M19) and apply to it just the same.

M19.222

M19.222 — Secondary osteoarthritis, left elbow

Billable / specific codeICD-10-CMleft

M19.222 is a billable, specific ICD-10-CM code for secondary osteoarthritis, left elbow. It is valid for submission on a claim.

Excludes1 inherited from the categories above M19.222

These are not written on M19.222, but they bind it: a note on a category applies to every code beneath it. Billing M19.222 with anything listed here is a denial.

Written on M19 — Other and unspecified osteoarthritis

polyarthritis (M15.-)

Excludes2 inherited from the categories above M19.222

Also inherited, and the opposite of Excludes1: these conditions are not part of M19.222, but a patient can have both, so you may code both.

Written on M19 — Other and unspecified osteoarthritis

arthrosis of spine (M47.-)
hallux rigidus (M20.2)
osteoarthritis of spine (M47.-)

Risk adjustment

M19.222 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

M19.222 is named in 12 Medicare coverage policies — 5 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

Code history

M19.222 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 M19.22. If M19.222 is not quite right, the correct code is usually one of these.

Questions about M19.222

Is M19.222 a billable ICD-10-CM code?: Yes. M19.222 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M19.222 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Osteoarthritis (M15-M19).
What cannot be coded together with M19.222?: M19.222 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 M19.222 (M19) and apply to it just the same.