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M25.562 vs M25.569

M25.562 (Pain in left knee) compared with M25.569 (Pain in unspecified knee), from the official CMS tabular data. M25.562 and M25.569 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M25.562
Left
Pain in left knee
M25.569
Unspecified
Pain in 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. M25.562 and M25.569 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

M25.562Pain in left kneeM25.569Pain in 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)
DefinitionPain in left knee is a billable ICD-10-CM diagnosis code (M25.562).Pain in unspecified knee is a billable ICD-10-CM diagnosis code (M25.569).

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