Pain in joint
Pain in joint
M25.5 is a header (parent) code in the ICD-10-CM hierarchy. It is not billable for claim submission. Use one of the billable child codes listed below.
Billable codes in this category
Each of the codes below is billable. Choose the one that most accurately describes the patient's diagnosis.
M25.50 classifies joint pain where the affected joint is not documented or identified in the clinical record. Use it only when the note genuinely lacks joint specificity — not as a shortcut when laterality or region is present.
M25.59 captures joint pain localized to a specific joint that falls outside the individually enumerated joints in the M25.5x subcode set — such as the sacroiliac joint, acromioclavicular joint, or sternoclavicular joint — where a more precise laterality-specific code does not exist.
Inclusion & exclusion notes
Excludes 2 (not included here, but may be coded together if both present)
- pain in hand (M79.64-)
- pain in fingers (M79.64-)
- pain in foot (M79.67-)
- pain in limb (M79.6-)
- pain in toes (M79.67-)