ICD-10 M25.50
Billable / SpecificPain in unspecified joint
About ICD-10-CM M25.50
ICD-10-CM code M25.50 represents Pain in unspecified joint. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M25). The 2026 edition of ICD-10-CM M25.50 became effective on October 1, 2025.
Medicare LCD Coverage for M25.50
Local Coverage Determinations (LCDs) from CMS MACs that list M25.50 as a covered diagnosis.
Showing top 10 of 107 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M25.50.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with M25.50
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 20610 Joint injection — joint pain, arthritis, gout Orthopaedic Surgery
- 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
- 20610 Joint injection major — knee OA, hip OA, shoulder OA, shoulder impingement, joint pain, meniscal derangement, synovitis, bursitis Orthopedics
- 97110 Therapeutic exercises — back pain, neck pain, joint pain, rotator cuff, knee OA, limb pain, meniscal tear, shoulder injury, ankle sprain, hemiplegia, paraplegia, post joint replacement, muscle weakness Physical Therapy
- 97140 Manual therapy — back pain, neck pain, joint pain, myalgia, spasm, muscle weakness, impingement, somatic dysfunction, chronic pain, spondylosis Physical Therapy
- 97035 Ultrasound therapy — myalgia, spasm, back pain, neck pain, joint pain, impingement, epicondylitis, plantar fasciitis Physical Therapy
- 97161 PT evaluation low complexity — back pain, neck pain, joint pain, rotator cuff, meniscal tear, ankle sprain, limb pain, knee OA, weakness Physical Therapy
- 86790 CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods CMS LCD
- 86794 CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods CMS LCD
Convert M25.50 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 |
|---|---|---|
| M25.50 | 71940 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M25.50
Other codes in section M20-M25 (Other joint disorders).
ICD-10 M25.50, Billing FAQ
Is ICD-10 code M25.50 billable? +
Yes, M25.50 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with M25.50? +
Procedures frequently paired with M25.50 include: 20610, 99213, 20610, 97110, 97140.
What ICD-9 codes does M25.50 map to? +
Per CMS GEMs, M25.50 maps to ICD-9 codes: 71940. 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 July 16, 2026.
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