M25.542 ICD-10-CM Code: Pain in joints of left hand
M25.542 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other joint disorders (M20-M25)
M25.542
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePain in joints of left hand
Pain affecting the joints in the left hand, including fingers and knuckles.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Excludes 2
Official- arthropathic psoriasis (L40.5-)Inherited from M00-M99, M20-M25, M25, M25.5
- certain conditions originating in the perinatal period (P04-P96)Inherited from M00-M99, M20-M25, M25, M25.5
- certain infectious and parasitic diseases (A00-B99)Inherited from M00-M99, M20-M25, M25, M25.5
- compartment syndrome (traumatic) (T79.A-)Inherited from M00-M99, M20-M25, M25, M25.5
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from M00-M99, M20-M25, M25, M25.5
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from M00-M99, M20-M25, M25, M25.5
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from M00-M99, M20-M25, M25, M25.5
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from M00-M99, M20-M25, M25, M25.5
- neoplasms (C00-D49)Inherited from M00-M99, M20-M25, M25, M25.5
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from M00-M99, M20-M25, M25, M25.5
- joints of the spine (M40-M54)Inherited from M00-M99, M20-M25, M25, M25.5
- abnormality of gait and mobility (R26.-)Inherited from M00-M99, M20-M25, M25, M25.5
- acquired deformities of limb (M20-M21)Inherited from M00-M99, M20-M25, M25, M25.5
- calcification of bursa (M71.4-)Inherited from M00-M99, M20-M25, M25, M25.5
- calcification of shoulder (joint) (M75.3)Inherited from M00-M99, M20-M25, M25, M25.5
- calcification of tendon (M65.2-)Inherited from M00-M99, M20-M25, M25, M25.5
- difficulty in walking (R26.2)Inherited from M00-M99, M20-M25, M25, M25.5
- temporomandibular joint disorder (M26.6-)Inherited from M00-M99, M20-M25, M25, M25.5
- pain in hand (M79.64-)Inherited from M00-M99, M20-M25, M25, M25.5
- pain in fingers (M79.64-)Inherited from M00-M99, M20-M25, M25, M25.5
- pain in foot (M79.67-)Inherited from M00-M99, M20-M25, M25, M25.5
- pain in limb (M79.6-)Inherited from M00-M99, M20-M25, M25, M25.5
- pain in toes (M79.67-)Inherited from M00-M99, M20-M25, M25, M25.5
Related Codes
Includes
OfficialNo Includes notes are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Excludes 1
OfficialNo Excludes 1 notes are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for M25.542. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is M25.542 an HCC code?
No. M25.542 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- M25.542
- Description
- Pain in joints of left hand
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
M25.542 is the ICD-10-CM diagnosis code for pain in joints of left hand. Pain affecting the joints in the left hand, including fingers and knuckles. M25.542 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).
M25.542 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
Confirm left hand is explicitly documented in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for M25.542 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm left hand is explicitly documented in the medical record
- •Use this code for generalized hand joint pain rather than pain in a single finger