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M25.122

Billable

Fistula, left 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 left elbow joint that allows fluid or infection to drain or communicate with surrounding tissues.

Coding Tips

  • •Confirm documentation specifies 'left' elbow; use M25.121 for right elbow
  • •Assess whether this condition is related to prior surgery, infection, or chronic inflammatory disease

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.1Fistula of joint└M25.12Fistula, elbow└M25.122Fistula, left elbow
└M25.122Fistula, left elbow

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