Valid for Submission
M25.50 is a billable diagnosis code used to specify a medical diagnosis of pain in unspecified joint. The code M25.50 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M25.50 might also be used to specify conditions or terms like anti-cyclic citrullinated peptide antibody positive, anti-cyclic citrullinated peptide antibody positive arthralgia, arthralgia of the pelvic region and thigh, bilateral knee pain, joint pain , joint pain of pelvic region, etc.
The code is commonly used in family practice , internal medicine medical specialties to specify clinical concepts such as pain in joint.
Unspecified diagnosis codes like M25.50 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M25.50 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Anti-cyclic citrullinated peptide antibody positive
- Anti-cyclic citrullinated peptide antibody positive arthralgia
- Arthralgia of the pelvic region and thigh
- Bilateral knee pain
- Joint pain
- Joint pain of pelvic region
- Multiple joint pain
- Pain in left knee
- Pain in right knee
- Pain of joint of bilateral lower legs
- Pain of joint of left lower leg
- Pain of joint of right lower leg
- Pain on joint movement
- Pain on passive stretch of joint
- Painful swelling of joint
- Rubella arthralgia
- Tenderness of joint
- Tibiofibular joint pain
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|555||SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC||08||1.3628|
|556||SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC||08||0.8063|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert M25.50 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M25.50 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
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
[Learn More in MedlinePlus]
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
[Learn More in MedlinePlus]