M25.5
Header — not billablePain in joint
The ICD-10 code for pain in joint is M25.5.
M25.5 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M25.5
- M25.50Pain in unspecified joint
- M25.51Pain in shouldernon-billable header
- M25.52Pain in elbownon-billable header
- M25.53Pain in wristnon-billable header
- M25.54Pain in joints of handnon-billable header
- M25.55Pain in hipnon-billable header
- M25.56Pain in kneenon-billable header
- M25.57Pain in ankle and joints of footnon-billable header
- M25.59Pain in other specified joint
Related codes in this category
- M25.0Hemarthrosisnon-billable header
- M25.1Fistula of jointnon-billable header
- M25.2Flail jointnon-billable header
- M25.3Other instability of jointnon-billable header
- M25.4Effusion of jointnon-billable header
- M25.6Stiffness of joint, not elsewhere classifiednon-billable header
- M25.7Osteophytenon-billable header
- M25.8Other specified joint disordersnon-billable header
- M25.9Joint disorder, unspecified
- M25.5Pain in jointnon-billable header