M25.421
M25.421: Effusion, right elbow
Billable / specific codeICD-10-CMright
M25.421 is a billable, specific ICD-10-CM code for effusion, right elbow. It is valid for submission on a claim.
Check M25.421 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M25.421
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M25.421
Not part of this code, but both may be coded when both are present.
Written on M25: Other joint disorder, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M25.421 is named in 12 Medicare coverage policies: 5 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Unchanged in every release from FY2024 to FY2027.