ICD-10-CM Code M25.569

Pain in unspecified knee

Version 2020 Billable Code Family Practice Internal Medicine

Valid for Submission

M25.569 is a billable code used to specify a medical diagnosis of pain in unspecified knee. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M25.569 might also be used to specify conditions or terms like acute arthralgia of knee, anterior knee pain, infrapatellar tenderness, knee joint painful on movement, knee pain, tenderness of knee joint, etc

The code is commonly used in family practice, internal medicine medical specialties to specify clinical concepts such as pain in joint.

ICD-10:M25.569
Short Description:Pain in unspecified knee
Long Description:Pain in unspecified knee

Synonyms

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

  • Acute arthralgia of knee
  • Anterior knee pain
  • Infrapatellar tenderness
  • Knee joint painful on movement
  • Knee pain
  • Tenderness of knee joint
  • Tenderness on lateral joint line of knee
  • Tenderness on medial joint line of knee

Diagnostic Related Groups

The ICD-10 code M25.569 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.

  • 555 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC

Convert M25.569 to ICD-9

  • 719.46 - Joint pain-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


Knee Injuries and Disorders

Your knee joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the knee joint move. When any of these structures is hurt or diseased, you have knee problems. Knee problems can cause pain and difficulty walking.

Knee problems are very common, and they occur in people of all ages. Knee problems can interfere with many things, from participation in sports to simply getting up from a chair and walking. This can have a big impact on your life.

The most common disease affecting the knee is osteoarthritis. The cartilage in the knee gradually wears away, causing pain and swelling.

Injuries to ligaments and tendons also cause knee problems. A common injury is to the anterior cruciate ligament (ACL). You usually injure your ACL by a sudden twisting motion. ACL and other knee injuries are common sports injuries.

Treatment of knee problems depends on the cause. In some cases your doctor may recommend knee replacement.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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Pain

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


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