M25.5 vs M79.6
M25.5 (Pain in joint) compared with M79.6 (Pain in limb, hand, foot, fingers and toes), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. M25.5 carries an Excludes2 note covering M79.6: “pain in limb (M79.6-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. M79.6 carries an Excludes2 note covering M25.5: “pain in joint (M25.5-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M25.5Pain in joint | M79.6Pain in limb, hand, foot, fingers and toes | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Pain in joint is a non-billable ICD-10-CM category code (M25.5). | Pain in limb, hand, foot, fingers and toes is a non-billable ICD-10-CM category code (M79.6). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources