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M25.28

Billable

Flail joint, other site

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

What This Code Means

A joint that moves excessively or abnormally due to loss of normal stability, occurring in areas of the body other than the shoulder, elbow, wrist, hip, knee, or ankle.

Coding Tips

  • Use this code only when the flail joint location is not specified by more specific codes; document the exact anatomical site in the medical record
  • Flail joint indicates severe instability requiring investigation for underlying causes such as ligament damage, cartilage loss, or neurological conditions

Code Hierarchy

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