M25.069

Hemarthrosis, unspecified knee

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M20–M25 Other joint disorders

BillableComplete code, valid to report
Care settingsHospital CC

M25.069 (also written M25069) is a billable ICD-10-CM diagnosis code for hemarthrosis, unspecified knee. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 225 codes in category M25 (Other joint disorder, not elsewhere classified). Its coding notes include 2 Excludes1 entries and 18 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from M25.0 Hemarthrosis
  • current injury - see injury of joint by body region
  • hemophilic arthropathy (M36.2)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from M25 Other joint disorder, not elsewhere classified
  • abnormality of gait and mobility (R26.-)
  • acquired deformities of limb (M20-M21)
  • calcification of bursa (M71.4-)
  • calcification of shoulder (joint) (M75.3)
  • calcification of tendon (M65.2-)
  • difficulty in walking (R26.2)
  • temporomandibular joint disorder (M26.6-)
Also from chapter/block level (11 notes)
Inherited from M20–M25 Other joint disorders
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 14 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition