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M25.469

Billable

Effusion, unspecified knee

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

What This Code Means

Fluid accumulation in the knee joint when the specific side (left or right) is not documented or specified.

Coding Tips

  • •Query provider for laterality documentation; knee effusions are frequently unilateral and specificity improves coding accuracy
  • •Review imaging reports which typically specify which knee is affected

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.4Effusion of joint└M25.46Effusion, knee└M25.469Effusion, unspecified knee
└M25.469Effusion, unspecified knee

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