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M25.572

Billable

Pain in left ankle and joints of left foot

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

Is M25.572 an HCC code?

No. M25.572 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

M25.572 is the ICD-10-CM diagnosis code for pain in left ankle and joints of left foot. Pain in the left ankle and the joints of the left foot. M25.572 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).

M25.572 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 encompasses pain affecting the left ankle and foot joints collectively.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M25.572 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code encompasses pain affecting the left ankle and foot joints collectively
  • Ensure documentation specifies left side; if bilateral, code both M25.571 and M25.572

Code Hierarchy

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