M00.1 — Pneumococcal arthritis and polyarthritis
Is M00.1 billable?
No — M00.1 is a non-billable header code. M00.1 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 24 billable codes beneath M00.1.
Billable codes under this header
- M00.10Pneumococcal arthritis, unspecified joint
- M00.18Pneumococcal arthritis, vertebrae
- M00.19Pneumococcal polyarthritis
- M00.111Pneumococcal arthritis, right shoulder
- M00.112Pneumococcal arthritis, left shoulder
- M00.119Pneumococcal arthritis, unspecified shoulder
- M00.121Pneumococcal arthritis, right elbow
- M00.122Pneumococcal arthritis, left elbow
- M00.129Pneumococcal arthritis, unspecified elbow
- M00.131Pneumococcal arthritis, right wrist
- M00.132Pneumococcal arthritis, left wrist
- M00.139Pneumococcal arthritis, unspecified wrist
- M00.141Pneumococcal arthritis, right hand
- M00.142Pneumococcal arthritis, left hand
- M00.149Pneumococcal arthritis, unspecified hand
- M00.151Pneumococcal arthritis, right hip
- M00.152Pneumococcal arthritis, left hip
- M00.159Pneumococcal arthritis, unspecified hip
- M00.161Pneumococcal arthritis, right knee
- M00.162Pneumococcal arthritis, left knee
- M00.169Pneumococcal arthritis, unspecified knee
- M00.171Pneumococcal arthritis, right ankle and foot
- M00.172Pneumococcal arthritis, left ankle and foot
- M00.179Pneumococcal arthritis, unspecified ankle and foot
M00.1 at a glance
| Code | M00.1 |
|---|---|
| Description | Pneumococcal arthritis and polyarthritis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M00.1, but a patient may have both at the same time. When documentation supports it, M00.1 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 M00.1, but a patient may have both at the same time. When documentation supports it, M00.1 and the excluded code may both be reported.
- infection and inflammatory reaction due to internal joint prosthesis (T84.5-)
What codes fall under M00.1? (10)
- M00.10Pneumococcal arthritis, unspecified joint
- M00.11Pneumococcal arthritis, shouldernot billable
- M00.12Pneumococcal arthritis, elbownot billable
- M00.13Pneumococcal arthritis, wristnot billable
- M00.14Pneumococcal arthritis, handnot billable
- M00.15Pneumococcal arthritis, hipnot billable
- M00.16Pneumococcal arthritis, kneenot billable
- M00.17Pneumococcal arthritis, ankle and footnot billable
- M00.18Pneumococcal arthritis, vertebrae
- M00.19Pneumococcal polyarthritis
How long has M00.1 existed?
M00.1 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.