ICD-10/M00.04

M00.04 ICD 2026 Code: Staphylococcal arthritis, hand

M00.04 is the authoritative medical code for Staphylococcal arthritis, hand. This classification is used in medical billing and clinical recording to specify the clinical criteria for staphylococcal arthritis, hand (ICD-10-CM M00.04), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Staphylococcal arthritis, hand is a non-billable ICD-10-CM category code M00.04. A more specific billable subcode must be selected for claims submission. Inclusion terms: Staphylococcal arthritis of metacarpus and phalanges. Excludes2 (not included here): infection and inflammatory reaction due to internal joint prosthesis T84.5-. Use additional code: code B95.61-B95.8 to identify bacterial agent.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for M00.04 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Staphylococcal arthritis of metacarpus and phalanges

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • infection and inflammatory reaction due to internal joint prosthesis T84.5-

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • code B95.61-B95.8 to identify bacterial agent

Frequently Asked Questions (FAQ) & Clinical Guidance

Can M00.04 be billed directly?

No. M00.04 (Staphylococcal arthritis, hand) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Can M00.04 be reported alongside related conditions?

Per official ICD-10-CM Excludes2 instructions, M00.04 and the following are not considered part of each other and may both be reported when both conditions are present: infection and inflammatory reaction due to internal joint prosthesis (T84.5-).

Is an additional code needed with M00.04?

Use additional code(s) to specify: code (B95.61-B95.8) to identify bacterial agent.

What conditions are included under M00.04?

Staphylococcal arthritis, hand includes: Staphylococcal arthritis of metacarpus and phalanges.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M00.04 in its code family, with their registry titles.

  • M00.041 — Staphylococcal arthritis, right hand
  • M00.042 — Staphylococcal arthritis, left hand
  • M00.049 — Staphylococcal arthritis, unspecified hand