M00.162 — Pneumococcal arthritis, left knee
Is M00.162 billable?
Yes — M00.162 is billable for FY2027. M00.162 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M00.162 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M00.162 at a glance
| Code | M00.162 |
|---|---|
| Description | Pneumococcal arthritis, left knee |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M00.162 group to?
M00.162 sits in MDC 08 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 400Knee Procedures with Principal Diagnosis of Infectionsurgical
As a secondary diagnosis, M00.162 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M00.162 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M00.16, the nearest indexed parent of M00.162. Use them to find the family, then select the specific code.
- Arthritis, arthritic › pneumococcal › knee (acute) (chronic) (nonpyogenic) (subacute)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M00.162, but a patient may have both at the same time. When documentation supports it, M00.162 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 M00.162, but a patient may have both at the same time. When documentation supports it, M00.162 and the excluded code may both be reported.
- infection and inflammatory reaction due to internal joint prosthesis (T84.5-)
How long has M00.162 existed?
M00.162 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.