M25.532
BillablePain in left wrist
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M25.532 an HCC code?
No. M25.532 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
M25.532 is the ICD-10-CM diagnosis code for pain in left wrist. Pain in the left wrist joint, which may result from injury, arthritis, or overuse. M25.532 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other joint disorders (m20-m25).
M25.532 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Confirm left side is clearly documented in the clinical notes.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M25.532 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm left side is clearly documented in the clinical notes
- •Do not use this code if a more specific wrist condition diagnosis is available