M25.549

M25.549: Pain in joints of unspecified hand

Billable / specific codeICD-10-CMunspecified

M25.549 is a billable, specific ICD-10-CM code for pain in joints of unspecified hand. It is valid for submission on a claim.

Check M25.549 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pain in joints of hand NOS

Excludes2 inherited from the categories above M25.549

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

Written on M25.5: Pain in joint

pain in hand (M79.64-)
pain in fingers (M79.64-)
pain in foot (M79.67-)
pain in limb (M79.6-)
pain in toes (M79.67-)

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.

Medicare coverage

M25.549 is named in 14 Medicare coverage policies: 2 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A57701Billing and Coding: Trigger Point Injections (TPI)not covered
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

Code history

Unchanged in every release from FY2024 to FY2027.