2020 ICD-10-CM Diagnosis Code M25.5

Pain in joint

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M25.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM M25.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M25.5 - other international versions of ICD-10 M25.5 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (M25.5) and the excluded code together.
  • pain in hand (
    ICD-10-CM Diagnosis Code M79.64

    Pain in hand and fingers

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M79.64-
    )
  • pain in fingers (
    ICD-10-CM Diagnosis Code M79.64

    Pain in hand and fingers

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M79.64-
    )
  • pain in foot (
    ICD-10-CM Diagnosis Code M79.67

    Pain in foot and toes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M79.67-
    )
  • pain in limb (
    ICD-10-CM Diagnosis Code M79.6

    Pain in limb, hand, foot, fingers and toes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    M79.6-
    )
  • pain in toes (
    ICD-10-CM Diagnosis Code M79.67

    Pain in foot and toes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M79.67-
    )
The following code(s) above M25.5 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 M25.5:
  • M00-M99
    2020 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
  • M20-M25
    2020 ICD-10-CM Range M20-M25

    Other joint disorders

    Type 2 Excludes
    Other joint disorders
  • M25
    ICD-10-CM Diagnosis Code M25

    Other joint disorder, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • abnormality of gait and mobility (R26.-)
    • acquired deformities of limb (M20-M21)
    • calcification of bursa (M71.4-)
    • calcification of shoulder (joint) (M75.3)
    • calcification of tendon (M65.2-)
    • difficulty in walking (R26.2)
    • temporomandibular joint disorder (M26.6-)
    Other joint disorder, not elsewhere classified
Clinical Information
  • A disorder characterized by a sensation of marked discomfort in a joint.
  • Joint pain.
  • Pain in a joint.
  • Pain in the joint.
  • Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in one or more joints, including small and big joints.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M25.5:
  • Type 1 Excludes: R52
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
    • acute and chronic pain, not elsewhere classified (G89.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • pain disorders exclusively related to psychological factors (F45.41)
  • Type 2 Excludes: G89
    , M79.6
    ICD-10-CM Diagnosis Code G89

    Pain, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • related psychological factors associated with pain (F45.42)
    Type 1 Excludes
    • generalized pain NOS (R52)
    • pain disorders exclusively related to psychological factors (F45.41)
    • pain NOS (R52)
    Type 2 Excludes
    ICD-10-CM Diagnosis Code M79.6

    Pain in limb, hand, foot, fingers and toes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
ICD-10-CM Codes Adjacent To M25.5
M25.462 Effusion, left knee
M25.469 Effusion, unspecified knee
M25.47 Effusion, ankle and foot
M25.471 Effusion, right ankle
M25.472 Effusion, left ankle
M25.473 Effusion, unspecified ankle
M25.474 Effusion, right foot
M25.475 Effusion, left foot
M25.476 Effusion, unspecified foot
M25.48 Effusion, other site
M25.5 Pain in joint
M25.50 Pain in unspecified joint
M25.51 Pain in shoulder
M25.511 Pain in right shoulder
M25.512 Pain in left shoulder
M25.519 Pain in unspecified shoulder
M25.52 Pain in elbow
M25.521 Pain in right elbow
M25.522 Pain in left elbow
M25.529 Pain in unspecified elbow
M25.53 Pain in wrist

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