2026 ICD-10-CM Diagnosis Code M25.00Hemarthrosis, unspecified joint
ICD-10-CM Codes›M00–M99›M20-M25›M25
- Billable — Valid for Submission
- Not Chronic
M25.00 is a billable ICD-10-CM diagnosis code for hemarthrosis, unspecified joint. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as chronic synovitis due to hemarthrosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified joint disorders.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for M25.00.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Chronic synovitis due to hemarthrosis
- Hemarthrosis
- Lipohemarthrosis
- Spontaneous hemarthrosis
- Subchondral hematoma
- Target joint
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Hemarthrosis (nontraumatic) - M25.00
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hemarthrosis(nontraumatic)
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hemarthrosis
bleeding into the joints. it may arise from trauma or spontaneously in patients with hemophilia.Hemarthrosis
bleeding into a joint.
Patient EducationClinical
Joint Disorders
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.
The full article covers:
- What are joints?
- What are joint disorders?
- What diseases can affect the joints?
- What types of joint disorders happen from sudden injuries?
- What types of joint disorders happen from overuse?
- How can I keep my joints healthy?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M25.00 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M25.00Overview
Is M25.00 (Hemarthrosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hemarthrosis, unspecified joint on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M25.00 group to?
When hemarthrosis, unspecified joint is the principal diagnosis on an inpatient stay, it groups to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M25.00?
Under the General Equivalence Mappings, hemarthrosis, unspecified joint converts to ICD-9-CM 719.10 (hemarthrosis-unspec). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
