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M25.542 vs M25.549

M25.542 (Pain in joints of left hand) compared with M25.549 (Pain in joints of unspecified hand), from the official CMS tabular data. M25.542 and M25.549 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M25.542
Left
Pain in joints of left hand
M25.549
Unspecified
Pain in joints of unspecified hand

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. M25.542 and M25.549 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

M25.542Pain in joints of left handM25.549Pain in joints of unspecified hand
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionPain in joints of left hand is a billable ICD-10-CM diagnosis code (M25.542).Pain in joints of unspecified hand is a billable ICD-10-CM diagnosis code (M25.549).
Includes
Pain in joints of hand NOS

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