M00.04 — Staphylococcal arthritis, hand
Is M00.04 billable?
No — M00.04 is a non-billable header code. M00.04 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath M00.04.
M00.04 at a glance
| Code | M00.04 |
|---|---|
| Description | Staphylococcal arthritis, hand |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M00.04 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M00.04. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Arthritis, arthritic › staphylococcal › hand joint (acute) (chronic) (nonpyogenic) (subacute)
Inclusion terms
Alternative wording in documentation that is classified to M00.04.
- Staphylococcal arthritis of metacarpus and phalanges
Use additional code — inherited from M00.0
Report an additional code alongside M00.04 to fully describe the condition. M00.04 is sequenced first.
- code (B95.61-B95.8) to identify bacterial agent
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M00.04, but a patient may have both at the same time. When documentation supports it, M00.04 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from M00
The conditions below are not part of M00.04, but a patient may have both at the same time. When documentation supports it, M00.04 and the excluded code may both be reported.
- infection and inflammatory reaction due to internal joint prosthesis (T84.5-)
What codes fall under M00.04? (3)
How long has M00.04 existed?
M00.04 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the M00.0 family? (9)
- M00.00Staphylococcal arthritis, unspecified joint
- M00.01Staphylococcal arthritis, shouldernot billable
- M00.02Staphylococcal arthritis, elbownot billable
- M00.03Staphylococcal arthritis, wristnot billable
- M00.05Staphylococcal arthritis, hipnot billable
- M00.06Staphylococcal arthritis, kneenot billable
- M00.07Staphylococcal arthritis, ankle and footnot billable
- M00.08Staphylococcal arthritis, vertebrae
- M00.09Staphylococcal polyarthritis