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M25.571

Billable

Pain in right ankle and joints of right foot

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is M25.571 an HCC code?

No. M25.571 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

M25.571 is the ICD-10-CM diagnosis code for pain in right ankle and joints of right foot. Pain in the right ankle and the joints of the right foot. M25.571 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).

M25.571 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.

This code includes pain in multiple joints of the right lower extremity distal to the knee.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M25.571 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code includes pain in multiple joints of the right lower extremity distal to the knee
  • Do not use if pain is related to specific conditions like gout (M10) or osteoarthritis (M19)

Code Hierarchy

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