M25.9

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 71990Approximate match
• 71991Approximate match
• 71992Approximate match
• 71993Approximate match
• 71994Approximate match
• 71995Approximate match
• 71996Approximate match
• 71997Approximate match
• 71998Approximate match
• 71999Approximate match

Associated MS-DRGs

M25.9 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 555Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC
• DRG 556Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC