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M25.161

Billable

Fistula, right knee

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 knee joint, usually resulting from infection, injury, or post-surgical complications.

Coding Tips

  • •Verify right knee laterality is clearly documented in the patient's medical record
  • •Review for associated conditions such as infection or prior knee surgery that may require additional codes

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.1Fistula of joint└M25.16Fistula, knee└M25.161Fistula, right knee
└M25.161Fistula, right knee

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