M25.5
M25.5: Pain in joint
Non-billable headerICD-10-CM
M25.5 is a non-billable header ICD-10-CM code for pain in joint. It cannot be billed on its own: choose one of the more specific child codes below.
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.
Excludes2 inherited from the categories above M25.5
Not part of this code, but both may be coded when both are present.
Written on M25: Other joint disorder, not elsewhere classified
Other codes that can never be billed with M25.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R52Pain, unspecified
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 M25.5
9 child codes. Green means billable.