M25.5 — Pain in joint
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
Also inherited, and the opposite of Excludes1: these conditions are not part of M25.5, but a patient can have both, so you may code both.
Written on M25 — Other joint disorder, not elsewhere classified
Other codes that can never be billed with M25.5
These codes carry an Excludes1 note pointing at M25.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M25.5 alone.
- R52Pain, unspecified
Risk adjustment
M25.5 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 history
M25.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead M25.5
9 child codes. Green means billable.
Related codes at this level
Codes that share M25. If M25.5 is not quite right, the correct code is usually one of these.
Questions about M25.5
- Is M25.5 a billable ICD-10-CM code?
- No. M25.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M25.5 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other joint disorders (M20-M25).