M25.4 - Effusion of joint

Version 2023
Short Description:Effusion of joint
Long Description:Effusion 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)

M25.4 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 effusion 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 Effusion of joint

Non-specific codes like M25.4 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 effusion of joint:

  • BILLABLE CODE - Use M25.40 for Effusion, unspecified joint
  • NON-BILLABLE CODE - M25.41 for Effusion, shoulder
  • BILLABLE CODE - Use M25.411 for Effusion, right shoulder
  • BILLABLE CODE - Use M25.412 for Effusion, left shoulder
  • BILLABLE CODE - Use M25.419 for Effusion, unspecified shoulder
  • NON-BILLABLE CODE - M25.42 for Effusion, elbow
  • BILLABLE CODE - Use M25.421 for Effusion, right elbow
  • BILLABLE CODE - Use M25.422 for Effusion, left elbow
  • BILLABLE CODE - Use M25.429 for Effusion, unspecified elbow
  • NON-BILLABLE CODE - M25.43 for Effusion, wrist
  • BILLABLE CODE - Use M25.431 for Effusion, right wrist
  • BILLABLE CODE - Use M25.432 for Effusion, left wrist
  • BILLABLE CODE - Use M25.439 for Effusion, unspecified wrist
  • NON-BILLABLE CODE - M25.44 for Effusion, hand
  • BILLABLE CODE - Use M25.441 for Effusion, right hand
  • BILLABLE CODE - Use M25.442 for Effusion, left hand
  • BILLABLE CODE - Use M25.449 for Effusion, unspecified hand
  • NON-BILLABLE CODE - M25.45 for Effusion, hip
  • BILLABLE CODE - Use M25.451 for Effusion, right hip
  • BILLABLE CODE - Use M25.452 for Effusion, left hip
  • BILLABLE CODE - Use M25.459 for Effusion, unspecified hip
  • NON-BILLABLE CODE - M25.46 for Effusion, knee
  • BILLABLE CODE - Use M25.461 for Effusion, right knee
  • BILLABLE CODE - Use M25.462 for Effusion, left knee
  • BILLABLE CODE - Use M25.469 for Effusion, unspecified knee
  • NON-BILLABLE CODE - M25.47 for Effusion, ankle and foot
  • BILLABLE CODE - Use M25.471 for Effusion, right ankle
  • BILLABLE CODE - Use M25.472 for Effusion, left ankle
  • BILLABLE CODE - Use M25.473 for Effusion, unspecified ankle
  • BILLABLE CODE - Use M25.474 for Effusion, right foot
  • BILLABLE CODE - Use M25.475 for Effusion, left foot
  • BILLABLE CODE - Use M25.476 for Effusion, unspecified foot
  • BILLABLE CODE - Use M25.48 for Effusion, other site

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Patient Education

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