M25.561
M25.561: Pain in right knee
Billable / specific codeICD-10-CMright
M25.561 is a billable, specific ICD-10-CM code for pain in right knee. It is valid for submission on a claim.
Check M25.561 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M25.561 is named in 35 Medicare coverage policies: 22 listing it as supporting medical necessity, and 13 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52369Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee – Medical Policy Articlenot 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.