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M25.261 vs M25.269

M25.261 (Flail joint, right knee) compared with M25.269 (Flail joint, unspecified knee), from the official CMS tabular data. M25.261 and M25.269 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M25.261
Right
Flail joint, right knee
M25.269
Unspecified
Flail joint, unspecified knee

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. M25.261 and M25.269 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

M25.261Flail joint, right kneeM25.269Flail joint, unspecified knee
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionFlail joint, right knee is a billable ICD-10-CM diagnosis code (M25.261).Flail joint, unspecified knee is a billable ICD-10-CM diagnosis code (M25.269).

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