ICD-10 M25.062
Billable / Specific CCHemarthrosis, left knee
About ICD-10-CM M25.062
ICD-10-CM code M25.062 represents Hemarthrosis, left knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M25). The 2026 edition of ICD-10-CM M25.062 became effective on October 1, 2025.
Coding Tips for M25.062
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
M25.062 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Hemarthrosis, left knee. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for M25.062
Local Coverage Determinations (LCDs) from CMS MACs that list M25.062 as a covered diagnosis.
Showing top 10 of 167 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M25.062.
3 Medicare
CPT Codes Commonly Billed with M25.062
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert M25.062 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M25.062 | 71916 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M25.062
Other codes in section M20-M25 (Other joint disorders).
ICD-10 M25.062, Billing FAQ
Is ICD-10 code M25.062 billable? +
Yes, M25.062 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is M25.062 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does M25.062 map to? +
Per CMS GEMs, M25.062 maps to ICD-9 codes: 71916. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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