M01 ICD-10-CM Code: Direct infections of joint in infectious and parasitic diseases classified elsewhere
M01 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software
HCC Buddy Code Card
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Infectious arthropathies (M00-M02)
M01
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceDirect infections of joint in infectious and parasitic diseases classified elsewhere
Direct infections of joint in infectious and parasitic diseases classified elsewhere
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for M01 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M01 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M01 in this effective period.
Excludes 1
Official- arthropathy in Lyme disease (A69.23)
- gonococcal arthritis (A54.42)
- meningococcal arthritis (A39.83)
- mumps arthritis (B26.85)
- postinfective arthropathy (M02.-)
Code First
Official- underlying disease, such as:
- leprosy [Hansen's disease] (A30.-)
- mycoses (B35-B49)
- O'nyong-nyong fever (A92.1)
- paratyphoid fever (A01.1-A01.4)
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M01 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M01 in this effective period.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- M01
- Description
- Direct infections of joint in infectious and parasitic diseases classified elsewhere
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
M01 is the ICD-10-CM diagnosis code for direct infections of joint in infectious and parasitic diseases classified elsewhere. M01 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering infectious arthropathies (m00-m02).
Header codes like M01 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M01's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M01 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
- arthropathy in Lyme disease (A69.23)
- gonococcal arthritis (A54.42)
- meningococcal arthritis (A39.83)
- mumps arthritis (B26.85)
- postinfective arthropathy (M02.-)
- postmeningococcal arthritis (A39.84)
- reactive arthritis (M02.3)
- rubella arthritis (B06.82)
- sarcoidosis arthritis (D86.86)
- typhoid fever arthritis (A01.04)
- tuberculosis arthritis (A18.01-A18.02)

