M25.361

Other instability, right knee

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

BillableComplete code, valid to report

M25.361 (also written M25361) is a billable ICD-10-CM diagnosis code for other instability, right 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 19 Excludes2 entries.

Excludes1

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

Inherited from M25.3 Other instability of joint
  • instability of joint secondary to old ligament injury (M24.2-)
  • instability of joint secondary to removal of joint prosthesis (M96.8-)

Excludes2

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

Inherited from M25.3 Other instability of joint
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.

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, 2026

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