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M25.551 vs M25.559

M25.551 (Pain in right hip) compared with M25.559 (Pain in unspecified hip), from the official CMS tabular data. M25.551 and M25.559 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M25.551
Right
Pain in right hip
M25.559
Unspecified
Pain in unspecified hip

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. M25.551 and M25.559 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

M25.551Pain in right hipM25.559Pain in unspecified hip
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)
DefinitionPain in right hip is a billable ICD-10-CM diagnosis code (M25.551).Pain in unspecified hip is a billable ICD-10-CM diagnosis code (M25.559).

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