Is M25.22 a billable ICD-10-CM code?

No. M25.22 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M25.22 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other joint disorders (M20-M25).

M25.22

M25.22 — Flail joint, elbow

Non-billable headerICD-10-CM

M25.22 is a non-billable header ICD-10-CM code for flail joint, elbow. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M25.22 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 M25.22

3 child codes. Green means billable.

M25.221Flail joint, right elbow
M25.222Flail joint, left elbow
M25.229Flail joint, unspecified elbow

Related codes at this level

Codes that share M25.2. If M25.22 is not quite right, the correct code is usually one of these.

M25.20Flail joint, unspecified joint
M25.21Flail joint, shoulder
M25.23Flail joint, wrist
M25.24Flail joint, hand
M25.25Flail joint, hip
M25.26Flail joint, knee
M25.27Flail joint, ankle and foot
M25.28Flail joint, other site

Questions about M25.22

Is M25.22 a billable ICD-10-CM code?: No. M25.22 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M25.22 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other joint disorders (M20-M25).