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M25.174 vs M25.175

M25.174 (Fistula, right foot) compared with M25.175 (Fistula, left foot), from the official CMS tabular data. M25.174 and M25.175 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M25.174
Right
Fistula, right foot
M25.175
Left
Fistula, left foot

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M25.174 and M25.175 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M25.174Fistula, right footM25.175Fistula, left foot
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionFistula, right foot is a billable ICD-10-CM diagnosis code (M25.174).Fistula, left foot is a billable ICD-10-CM diagnosis code (M25.175).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources