M25.1 - Fistula of joint

Version 2023
Short Description:Fistula of joint
Long Description:Fistula of joint
Status: Not Valid for Submission
Version:ICD-10-CM 2023
Code Classification:
  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Other joint disorders (M20-M25)
      • Other joint disorder, not elsewhere classified (M25)

M25.1 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of fistula of joint. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Fistula of joint

Non-specific codes like M25.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fistula of joint:

  • BILLABLE CODE - Use M25.10 for Fistula, unspecified joint
  • NON-BILLABLE CODE - M25.11 for Fistula, shoulder
  • BILLABLE CODE - Use M25.111 for Fistula, right shoulder
  • BILLABLE CODE - Use M25.112 for Fistula, left shoulder
  • BILLABLE CODE - Use M25.119 for Fistula, unspecified shoulder
  • NON-BILLABLE CODE - M25.12 for Fistula, elbow
  • BILLABLE CODE - Use M25.121 for Fistula, right elbow
  • BILLABLE CODE - Use M25.122 for Fistula, left elbow
  • BILLABLE CODE - Use M25.129 for Fistula, unspecified elbow
  • NON-BILLABLE CODE - M25.13 for Fistula, wrist
  • BILLABLE CODE - Use M25.131 for Fistula, right wrist
  • BILLABLE CODE - Use M25.132 for Fistula, left wrist
  • BILLABLE CODE - Use M25.139 for Fistula, unspecified wrist
  • NON-BILLABLE CODE - M25.14 for Fistula, hand
  • BILLABLE CODE - Use M25.141 for Fistula, right hand
  • BILLABLE CODE - Use M25.142 for Fistula, left hand
  • BILLABLE CODE - Use M25.149 for Fistula, unspecified hand
  • NON-BILLABLE CODE - M25.15 for Fistula, hip
  • BILLABLE CODE - Use M25.151 for Fistula, right hip
  • BILLABLE CODE - Use M25.152 for Fistula, left hip
  • BILLABLE CODE - Use M25.159 for Fistula, unspecified hip
  • NON-BILLABLE CODE - M25.16 for Fistula, knee
  • BILLABLE CODE - Use M25.161 for Fistula, right knee
  • BILLABLE CODE - Use M25.162 for Fistula, left knee
  • BILLABLE CODE - Use M25.169 for Fistula, unspecified knee
  • NON-BILLABLE CODE - M25.17 for Fistula, ankle and foot
  • BILLABLE CODE - Use M25.171 for Fistula, right ankle
  • BILLABLE CODE - Use M25.172 for Fistula, left ankle
  • BILLABLE CODE - Use M25.173 for Fistula, unspecified ankle
  • BILLABLE CODE - Use M25.174 for Fistula, right foot
  • BILLABLE CODE - Use M25.175 for Fistula, left foot
  • BILLABLE CODE - Use M25.176 for Fistula, unspecified foot
  • BILLABLE CODE - Use M25.18 for Fistula, other specified site

Patient Education


A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.

Some people are born with a fistula. Other common causes of fistulas include:

Treatment depends on the cause of the fistula, where it is, and how bad it is. Some fistulas will close on their own. In some cases, you may need antibiotics and/or surgery.

[Learn More in MedlinePlus]

Joint Disorders

What are joints?

Your joints are places where two or more bones come together. Your shoulders, elbows, hips, knees, and knuckles are all joints. Your spine has joints, too.

But joints are more than bones. They include the soft tissues around them, such as cartilage, tendons and ligaments. Cartilage is the hard slippery flexible tissue that covers the ends of your bones at a joint. Tendons are tough, flexible bands that connect your muscles to your bones so you can move your joints. Ligaments connect the bones of the joint to each other to keep them stable when you move.

What are joint disorders?

Joint disorders are diseases or injuries that affect your joints. Injuries can happen because of overuse of a joint. Or you could have a sudden injury, such as an accident or a sports injury.

What diseases can affect the joints?

Many diseases can affect the joints. They often cause joint pain and make your joints stiff, red, or swollen. Most of them are chronic. That means they last a long time. Some may never go away completely. Some of the diseases that affect the joints include:

Treatments are different depending on the disease. But most treatments include medicines and therapies to relieve pain and other symptoms.

What types of joint disorders happen from sudden injuries?

Joint disorders from sudden injuries include:

Treatment depends on the type of injury. You can treat many sports injuries at home. But you should call your health care provider if you:

What types of joint disorders happen from overuse?

Overuse injuries usually damage the soft tissues of the joint. They can happen when you work a joint too hard by doing the same movements over and over. For example, you could get an overuse injury from playing a musical instrument, playing sports, or doing certain jobs, such as carpentry or painting.

Joint overuse injuries include:

The treatments for bursitis, tendinitis, and chronic strain are often the same. They usually include rest, keeping the injured joint higher than your heart, and taking medicine to reduce swelling. Your provider may recommend gentle exercise and other treatment. In some cases, your provider may suggest an injection (a shot) of medicine into the joint. If these do not help, you may need surgery.

How can I keep my joints healthy?

Getting enough physical activity is one of the most important things you can do to prevent or slow joint disorders. Activity strengthens the muscles around your joints and helps them work better.

When you play sports, wear the right equipment to protect your joints, such as knee pads. If you already have joint problems, ask your provider what type of activities are best for you.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

[Learn More in MedlinePlus]

Code History