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M25.121

Billable

Fistula, right elbow

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abnormal tunnel or opening in the right elbow joint that allows fluid or infection to drain or communicate with surrounding tissues.

Coding Tips

  • •Verify that 'right' is documented; use M25.122 for left elbow
  • •Determine if this is post-traumatic or related to chronic infection or inflammatory disease

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.1Fistula of joint└M25.12Fistula, elbow└M25.121Fistula, right elbow
└M25.121Fistula, right elbow

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