ICDcodes.org
FY2027

M25.5 — Pain in joint

Not billable

Is M25.5 billable?

No — M25.5 is a non-billable header code. M25.5 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 23 billable codes beneath M25.5.

M25.5 at a glance

CodeM25.5
DescriptionPain in joint
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes2 — not included here

The conditions below are not part of M25.5, but a patient may have both at the same time. When documentation supports it, M25.5 and the excluded code may both be reported.

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M25.5, but a patient may have both at the same time. When documentation supports it, M25.5 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 M20-M25

The conditions below are not part of M25.5, but a patient may have both at the same time. When documentation supports it, M25.5 and the excluded code may both be reported.

  • joints of the spine (M40-M54)

Excludes2 — not included here — inherited from M25

The conditions below are not part of M25.5, but a patient may have both at the same time. When documentation supports it, M25.5 and the excluded code may both be reported.

  • 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-)

What codes fall under M25.5? (9)

How long has M25.5 existed?

M25.5 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 M25 family? (9)