ICD-10-CM Code M25.469

Effusion, unspecified knee

Version 2020 Billable Code

Valid for Submission

M25.469 is a billable code used to specify a medical diagnosis of effusion, unspecified knee. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M25.469 might also be used to specify conditions or terms like fluid impulse in knee, knee joint - synovial swelling, knee joint effusion, large effusion in suprapatellar pouch, moderate effusion in knee, soft tissue swelling of knee joint, etc

ICD-10:M25.469
Short Description:Effusion, unspecified knee
Long Description:Effusion, unspecified knee

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Fluid impulse in knee
  • Knee joint - synovial swelling
  • Knee joint effusion
  • Large effusion in suprapatellar pouch
  • Moderate effusion in knee
  • Soft tissue swelling of knee joint
  • Suprapatellar swelling of knee joint
  • Swelling of knee joint
  • Swollen knee region
  • Trace effusion in knee
  • Traumatic effusion of the knee joint
  • Traumatic joint effusion

Diagnostic Related Groups

The ICD-10 code M25.469 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
  • 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
  • 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Convert M25.469 to ICD-9

  • 719.06 - Joint effusion-l/leg (Approximate Flag)

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Other joint disorders (M20-M25)
      • Other joint disorder, not elsewhere classified (M25)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Joint Disorders

A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including

  • Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
  • Bursitis - inflammation of a fluid-filled sac that cushions the joint
  • Dislocations - injuries that force the ends of the bones out of position

Treatment of joint problems depends on the cause. If you have a sports injury, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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