2026 ICD-10-CM Diagnosis Code M25.59Pain in other specified joint

ICD-10-CM Codes›M00–M99›M20-M25›M25

ICD-10-CM M25.59
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M25.59 is a billable ICD-10-CM diagnosis code for pain in other specified joint. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 555 through 556. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal pain, not low back pain.

Code Identity

ICD-10-CM Code
M25.59
Billable Status
Yes — Valid for Submission
Code Describes
Pain in other specified joint
Short Description
Pain in other specified joint
Same as the full description in the CMS dataset.
Parent Code
M25.5
Pain in joint

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM20-M25Other joint disorders
CategoryM25Other joint disorder, not elsewhere classified
This CodeM25.59Pain in other specified joint

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Pain(s)
      • joint
        • specified site NEC

Clinical ClassificationClinical

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

CCSR MUS010
Musculoskeletal pain, not low back pain
Default principal diagnosis: inpatient Yes · outpatient Yes

Code History & ChangesHistory

Replacement M25.59 replaces the following previously assigned code(s):

  • M25.50 - Pain in unspecified joint
FY 2021AddedAdded to the ICD-10-CM code setEffective October 1, 2020.
FY 2022–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M25.59Overview

Is M25.59 (Pain in joint) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pain in other specified joint on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M25.59 group to?

When pain in other specified joint is the principal diagnosis on an inpatient stay, it groups to MS-DRG 555, 556, with relative weights from 0.8306 to 1.3218 depending on complications. Higher weights mean higher Medicare reimbursement.

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.