M00.259

Other streptococcal arthritis, unspecified hip

Billable / specificHCC V28 92

M00.259 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from M00)

  • Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
  • Note: This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship:
  • Note: a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;
  • Note: b) indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

Excludes2

Not included here — may be reported together when both conditions exist.

  • arthropathic psoriasis (L40.5-) (from M00)
  • certain conditions originating in the perinatal period (P04-P96) (from M00)
  • certain infectious and parasitic diseases (A00-B99) (from M00)
  • compartment syndrome (traumatic) (T79.A-) (from M00)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M00)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M00)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from M00)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from M00)
  • neoplasms (C00-D49) (from M00)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M00)
  • infection and inflammatory reaction due to internal joint prosthesis (T84.5-) (from M00)

Use additional code

Add a code to identify the following, if applicable.

Parent code

  • M00.25Other streptococcal arthritis, hipHeader

Related codes

  • M00.251Other streptococcal arthritis, right hipBillable
  • M00.252Other streptococcal arthritis, left hipBillable

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