M25.80
M25.80: Other specified joint disorders, unspecified joint
Billable / specific codeICD-10-CM
M25.80 is a billable, specific ICD-10-CM code for other specified joint disorders, unspecified joint. It is valid for submission on a claim.
Check M25.80 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M25.80
Not part of this code, but both may be coded when both are present.
Written on M25: Other joint disorder, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M25.80 is named in 7 Medicare coverage policies: 0 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Disorder›joint›specified type NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M25.8
- M25.81Other specified joint disorders, shoulder
- M25.82Other specified joint disorders, elbow
- M25.83Other specified joint disorders, wrist
- M25.84Other specified joint disorders, hand
- M25.85Other specified joint disorders, hip
- M25.86Other specified joint disorders, knee
- M25.87Other specified joint disorders, ankle and foot