M25.3

M25.3: Other instability of joint

Non-billable headerICD-10-CM

M25.3 is a non-billable header ICD-10-CM code for other instability of joint. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

instability of joint secondary to old ligament injury (M24.2-)
instability of joint secondary to removal of joint prosthesis (M96.8-)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

spinal instabilities (M53.2-)

Excludes2 inherited from the categories above M25.3

Not part of this code, but both may be coded when both are present.

Written on M25: Other joint disorder, not elsewhere classified

abnormality of gait and mobility (R26.-)
acquired deformities of limb (M20-M21)
calcification of bursa (M71.4-)
calcification of shoulder (joint) (M75.3)
calcification of tendon (M65.2-)
difficulty in walking (R26.2)
temporomandibular joint disorder (M26.6-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M25.3

9 child codes. Green means billable.