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M25.559

M25.559: Pain in unspecified hip

Billable / specific codeICD-10-CMunspecified

M25.559 is a billable, specific ICD-10-CM code for pain in unspecified hip. It is valid for submission on a claim.

Check M25.559 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above M25.559

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

M25.559 is named in 19 Medicare coverage policies: 6 listing it as supporting medical necessity, and 13 listing it as NOT covered. Which one applies depends on your Medicare contractor.

  • A57497Billing and Coding: Chest X-Ray Policynot covered
  • 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

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.