2026 ICD-10-CM Diagnosis Code M25.069Hemarthrosis, unspecified knee

ICD-10-CM Codes›M00–M99›M20-M25›M25

ICD-10-CM M25.069
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M25.069 is a billable ICD-10-CM diagnosis code for hemarthrosis, unspecified knee. 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 of knee due to hemarthrosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified joint disorders.

Code Identity

ICD-10-CM Code
M25.069
Billable Status
Yes — Valid for Submission
Code Describes
Hemarthrosis, unspecified knee
Short Description
Hemarthrosis, unspecified knee
Same as the full description in the CMS dataset.
Parent Code
M25.06
Hemarthrosis, knee

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM20-M25Other joint disorders
CategoryM25Other joint disorder, not elsewhere classified
This CodeM25.069Hemarthrosis, unspecified knee

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M25.069.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Chronic synovitis of knee due to hemarthrosis
  • Hemarthrosis of knee

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS007
Other specified joint disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M25.069 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
719.16 Hemarthrosis-l/leg
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M25.069Overview

Is M25.069 (Hemarthrosis, knee) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hemarthrosis, unspecified knee on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M25.069 group to?

When hemarthrosis, unspecified knee 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 M25.069?

Under the General Equivalence Mappings, hemarthrosis, unspecified knee converts to ICD-9-CM 719.16 (hemarthrosis-l/leg). 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.