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M25.269

Billable

Flail joint, unspecified knee

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

What This Code Means

A condition where a knee joint becomes unstable and moves excessively in multiple directions, but the specific knee (right or left) is not specified.

Coding Tips

  • •Use only when laterality is not documented; attempt to clarify with provider documentation
  • •If both knees are affected, code each side separately rather than using the unspecified code

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.2Flail joint└M25.26Flail joint, knee└M25.269Flail joint, unspecified knee
└M25.269Flail joint, unspecified knee

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