MCMedicalCodingSoftware
M25.551

M25.551: Pain in right hip

Billable / specific codeICD-10-CMright

M25.551 is a billable, specific ICD-10-CM code for pain in right hip. It is valid for submission on a claim.

Check M25.551 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above M25.551

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

Written on M25.5: Pain in joint

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

M25.551 is named in 37 Medicare coverage policies: 25 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.

Other codes under M25.55

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.