Not Valid for Submission
M25.5 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pain in joint. The code is NOT valid for the year 2021 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 Pain in joint
Header codes like M25.5 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 pain in joint:
- M25.50 - Pain in unspecified joint
- M25.51 - Pain in shoulder
- M25.511 - Pain in right shoulder
- M25.512 - Pain in left shoulder
- M25.519 - Pain in unspecified shoulder
- M25.52 - Pain in elbow
- M25.521 - Pain in right elbow
- M25.522 - Pain in left elbow
- M25.529 - Pain in unspecified elbow
- M25.53 - Pain in wrist
- M25.531 - Pain in right wrist
- M25.532 - Pain in left wrist
- M25.539 - Pain in unspecified wrist
- M25.54 - Pain in joints of hand
- M25.541 - Pain in joints of right hand
- M25.542 - Pain in joints of left hand
- M25.549 - Pain in joints of unspecified hand
- M25.55 - Pain in hip
- M25.551 - Pain in right hip
- M25.552 - Pain in left hip
- M25.559 - Pain in unspecified hip
- M25.56 - Pain in knee
- M25.561 - Pain in right knee
- M25.562 - Pain in left knee
- M25.569 - Pain in unspecified knee
- M25.57 - Pain in ankle and joints of foot
- M25.571 - Pain in right ankle and joints of right foot
- M25.572 - Pain in left ankle and joints of left foot
- M25.579 - Pain in unspecified ankle and joints of unspecified foot
- M25.59 - Pain in other specified joint
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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M25.5:
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Information for Patients
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
- Hypermobile joints (Medical Encyclopedia)
- Joint pain (Medical Encyclopedia)
- Joint swelling (Medical Encyclopedia)
- Joint x-ray (Medical Encyclopedia)
- Limited range of motion (Medical Encyclopedia)
- Steroid injections - tendon, bursa, joint (Medical Encyclopedia)
Pain is a signal in your nervous system that something may be wrong. It is an unpleasant feeling, such as a prick, tingle, sting, burn, or ache. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen, chest, pelvis, or you may feel pain all over.
Pain can be helpful in diagnosing a problem. If you never felt pain, you might seriously hurt yourself without knowing it, or you might not realize you have a medical problem that needs treatment.
There are two types of pain: acute and chronic. Acute pain usually comes on suddenly, because of a disease, injury, or inflammation. It can often be diagnosed and treated. It usually goes away, though sometimes it can turn into chronic pain. Chronic pain lasts for a long time, and can cause severe problems.
Pain is not always curable, but there are many ways to treat it. Treatment depends on the cause and type of pain. There are drug treatments, including pain relievers. There are also non-drug treatments, such as acupuncture, physical therapy, and sometimes surgery.
NIH: National Institute of Neurological Disorders and Stroke
- Aches and pains during pregnancy (Medical Encyclopedia)
- Neuralgia (Medical Encyclopedia)
- Palliative care - managing pain (Medical Encyclopedia)