M25.211
Flail joint, right shoulder
BillableComplete code, valid to report
Care settingsHome Health Primary · Musculoskeletal Rehabilitation
M25.211 (also written M25211) is a billable ICD-10-CM diagnosis code for flail joint, right shoulder. 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 18 Excludes2 entries.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Inherited from M25 Other joint disorder, not elsewhere classified
Also from chapter/block level (11 notes)
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.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Musculoskeletal Rehabilitation clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Notes
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