2017/18 ICD-10-CM Diagnosis Code M02

Postinfective and reactive arthropathies

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • congenital syphilis [Clutton's joints] (
    ICD-10-CM Diagnosis Code A50.5

    Other late congenital syphilis, symptomatic

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Any congenital syphilitic condition specified as late or manifest two years or more after birth.
    A50.5
    )
  • enteritis due to Yersinia enterocolitica (
    ICD-10-CM Diagnosis Code A04.6

    Enteritis due to Yersinia enterocolitica

      2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    • extraintestinal yersiniosis (A28.2)
    A04.6
    )
  • infective endocarditis (
    ICD-10-CM Diagnosis Code I33.0

    Acute and subacute infective endocarditis

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Bacterial endocarditis (acute) (subacute)
    • Infective endocarditis (acute) (subacute) NOS
    • Endocarditis lenta (acute) (subacute)
    • Malignant endocarditis (acute) (subacute)
    • Purulent endocarditis (acute) (subacute)
    • Septic endocarditis (acute) (subacute)
    • Ulcerative endocarditis (acute) (subacute)
    • Vegetative endocarditis (acute) (subacute)
    Use Additional
    • code (B95-B97) to identify infectious agent
    I33.0
    )
  • viral hepatitis (B15-B19
    ICD-10-CM Range B15-B19

    Viral hepatitis

    Type 1 Excludes
    • sequelae of viral hepatitis (B94.2)
    Type 2 Excludes
    • cytomegaloviral hepatitis (B25.1)
    • herpesviral [herpes simplex] hepatitis (B00.81)
    • B15 Acute hepatitis A
    • B16 Acute hepatitis B
    • B17 Other acute viral hepatitis
    • B18 Chronic viral hepatitis
    • B19 Unspecified viral hepatitis
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M02. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Behçet's disease (
    ICD-10-CM Diagnosis Code M35.2

    Behçet's disease

      2016 2017 2018 Billable/Specific Code
    M35.2
    )
  • direct infections of joint in infectious and parasitic diseases classified elsewhere (
    ICD-10-CM Diagnosis Code M01
    • M01 Direct infections of joint in infectious and ...
      • M01.X Direct infection of joint in infectious and p...
        • M01.X0 Direct infection of unspecified joint in infe...
        • M01.X1 Direct infection of shoulder joint in infecti...
          • M01.X11 Direct infection of right shoulder in infecti...
          • M01.X12 Direct infection of left shoulder in infectio...
          • M01.X19 Direct infection of unspecified shoulder in i...
        • M01.X2 Direct infection of elbow in infectious and p...
          • M01.X21 Direct infection of right elbow in infectious...
          • M01.X22 Direct infection of left elbow in infectious ...
          • M01.X29 Direct infection of unspecified elbow in infe...
        • M01.X3 Direct infection of wrist in infectious and p...
          • M01.X31 Direct infection of right wrist in infectious...
          • M01.X32 Direct infection of left wrist in infectious ...
          • M01.X39 Direct infection of unspecified wrist in infe...
        • M01.X4 Direct infection of hand in infectious and pa...
          • M01.X41 Direct infection of right hand in infectious ...
          • M01.X42 Direct infection of left hand in infectious a...
          • M01.X49 Direct infection of unspecified hand in infec...
        • M01.X5 Direct infection of hip in infectious and par...
          • M01.X51 Direct infection of right hip in infectious a...
          • M01.X52 Direct infection of left hip in infectious an...
          • M01.X59 Direct infection of unspecified hip in infect...
        • M01.X6 Direct infection of knee in infectious and pa...
          • M01.X61 Direct infection of right knee in infectious ...
          • M01.X62 Direct infection of left knee in infectious a...
          • M01.X69 Direct infection of unspecified knee in infec...
        • M01.X7 Direct infection of ankle and foot in infecti...
          • M01.X71 Direct infection of right ankle and foot in i...
          • M01.X72 Direct infection of left ankle and foot in in...
          • M01.X79 Direct infection of unspecified ankle and foo...
        • M01.X8 Direct infection of vertebrae in infectious a...
        • M01.X9 Direct infection of multiple joints in infect...
    M01.-
    )
  • postmeningococcal arthritis (
    ICD-10-CM Diagnosis Code A39.84

    Postmeningococcal arthritis

      2016 2017 2018 Billable/Specific Code
    A39.84
    )
  • mumps arthritis (
    ICD-10-CM Diagnosis Code B26.85

    Mumps arthritis

      2016 2017 2018 Billable/Specific Code
    B26.85
    )
  • rubella arthritis (
    ICD-10-CM Diagnosis Code B06.82

    Rubella arthritis

      2016 2017 2018 Billable/Specific Code
    B06.82
    )
  • syphilis arthritis (late) (
    ICD-10-CM Diagnosis Code A52.77

    Syphilis of bone and joint

      2016 2017 2018 Billable/Specific Code
    A52.77
    )
  • rheumatic fever (
    ICD-10-CM Diagnosis Code I00

    Rheumatic fever without heart involvement

      2016 2017 2018 Billable/Specific Code
    Includes
    • arthritis, rheumatic, acute or subacute
    Type 1 Excludes
    • rheumatic fever with heart involvement (I01.0 -I01.9)
    I00
    )
  • tabetic arthropathy [Charcôt's] (
    ICD-10-CM Diagnosis Code A52.16

    Charcôt's arthropathy (tabetic)

      2016 2017 2018 Billable/Specific Code
    A52.16
    )
The following code(s) above M02 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M02:
  • M00-M99
    2018 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M00-M02
    2018 ICD-10-CM Range M00-M02

    Infectious arthropathies

    Note
    • This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship:
    • a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;
    • b) indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.
    Infectious arthropathies
Code History
Code annotations containing back-references to M02:
ICD-10-CM Codes Adjacent To M02
M01.X6 Direct infection of knee in infectious and parasitic diseases classified elsewhere
M01.X61 Direct infection of right knee in infectious and parasitic diseases classified elsewhere
M01.X62 Direct infection of left knee in infectious and parasitic diseases classified elsewhere
M01.X69 Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhere
M01.X7 Direct infection of ankle and foot in infectious and parasitic diseases classified elsewhere
M01.X71 Direct infection of right ankle and foot in infectious and parasitic diseases classified elsewhere
M01.X72 Direct infection of left ankle and foot in infectious and parasitic diseases classified elsewhere
M01.X79 Direct infection of unspecified ankle and foot in infectious and parasitic diseases classified elsewhere
M01.X8 Direct infection of vertebrae in infectious and parasitic diseases classified elsewhere
M01.X9 Direct infection of multiple joints in infectious and parasitic diseases classified elsewhere
M02 Postinfective and reactive arthropathies
M02.0 Arthropathy following intestinal bypass
M02.00 …… unspecified site
M02.01 Arthropathy following intestinal bypass, shoulder
M02.011 Arthropathy following intestinal bypass, right shoulder
M02.012 Arthropathy following intestinal bypass, left shoulder
M02.019 Arthropathy following intestinal bypass, unspecified shoulder
M02.02 Arthropathy following intestinal bypass, elbow
M02.021 Arthropathy following intestinal bypass, right elbow
M02.022 Arthropathy following intestinal bypass, left elbow
M02.029 Arthropathy following intestinal bypass, unspecified elbow

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.