ICD-10-CM Code M25.4
Effusion of joint
NON-BILLABLE
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ICD-10 from 2011 - 2016
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.ICD Code M25.4 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of M25.4 that describes the diagnosis 'effusion of joint' in more detail.
- M25.4 Effusion of joint NON-BILLABLE
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- BILLABLE M25.40 Effusion, unspecified joint
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- M25.411 Effusion, right shoulder BILLABLE
- M25.412 Effusion, left shoulder BILLABLE
- M25.419 Effusion, unspecified shoulder BILLABLE
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- M25.421 Effusion, right elbow BILLABLE
- M25.422 Effusion, left elbow BILLABLE
- M25.429 Effusion, unspecified elbow BILLABLE
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- M25.431 Effusion, right wrist BILLABLE
- M25.432 Effusion, left wrist BILLABLE
- M25.439 Effusion, unspecified wrist BILLABLE
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- M25.441 Effusion, right hand BILLABLE
- M25.442 Effusion, left hand BILLABLE
- M25.449 Effusion, unspecified hand BILLABLE
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- M25.451 Effusion, right hip BILLABLE
- M25.452 Effusion, left hip BILLABLE
- M25.459 Effusion, unspecified hip BILLABLE
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- M25.461 Effusion, right knee BILLABLE
- M25.462 Effusion, left knee BILLABLE
- M25.469 Effusion, unspecified knee BILLABLE
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- M25.471 Effusion, right ankle BILLABLE
- M25.472 Effusion, left ankle BILLABLE
- M25.473 Effusion, unspecified ankle BILLABLE
- M25.474 Effusion, right foot BILLABLE
- M25.475 Effusion, left foot BILLABLE
- M25.476 Effusion, unspecified foot BILLABLE
- BILLABLE M25.48 Effusion, other site
The ICD code M254 is used to code Joint effusion
A joint effusion is the presence of increased intra-articular fluid. It may affect any joint. Commonly it involves the knee.
ICD 9 Code: | 719.0 |
A traumatic right knee effusion. Note the swelling lateral to the kneecap as marked by the arrow.
Coding Notes for M25.4 Info for medical coders on how to properly use this ICD-10 code
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Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Hydrarthrosis in yaws - instead, use code A66.6
- Intermittent hydrarthrosis - instead, use code M12.4-
- Other infective (teno)synovitis - instead, use code M65.1-
Coding Advice SNOMET-CT
- Fifth character required to further specify the site
ICD-10-CM Alphabetical Index References for 'M25.4 - Effusion of joint'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M25.4. Click on any term below to browse the alphabetical index.
Parent Code: M25 - Other joint disorder, not elsewhere classified