Pyogenic arthritis
In Infectious arthropathies (M00-M02), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
97 billable codes under M00: all are a CC; all map to HCC 92 (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes2: not included here, code separately if applicable
- infection and inflammatory reaction due to internal joint prosthesis (T84.5-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.
- Site and laterality (page 60)
- Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
- Coding of Pathologic Fractures (page 61)
- Osteoporosis (page 61)
- Multisystem Inflammatory Syndrome (page 62)
All codes under M00
M00 can't be used on a claim. Pick a billable code below; grey headings group them.
- M00.0Staphylococcal arthritis and polyarthritis
- M00.00Staphylococcal arthritis, unspecified joint
- M00.01Staphylococcal arthritis, shoulder
- M00.011Staphylococcal arthritis, right shoulder
- M00.012Staphylococcal arthritis, left shoulder
- M00.019Staphylococcal arthritis, unspecified shoulder
- M00.02Staphylococcal arthritis, elbow
- M00.021Staphylococcal arthritis, right elbow
- M00.022Staphylococcal arthritis, left elbow
- M00.029Staphylococcal arthritis, unspecified elbow
- M00.03Staphylococcal arthritis, wrist
- M00.031Staphylococcal arthritis, right wrist
- M00.032Staphylococcal arthritis, left wrist
- M00.039Staphylococcal arthritis, unspecified wrist
- M00.04Staphylococcal arthritis, hand
- M00.041Staphylococcal arthritis, right hand
- M00.042Staphylococcal arthritis, left hand
- M00.049Staphylococcal arthritis, unspecified hand
- M00.05Staphylococcal arthritis, hip
- M00.051Staphylococcal arthritis, right hip
- M00.052Staphylococcal arthritis, left hip
- M00.059Staphylococcal arthritis, unspecified hip
- M00.06Staphylococcal arthritis, knee
- M00.061Staphylococcal arthritis, right knee
- M00.062Staphylococcal arthritis, left knee
- M00.069Staphylococcal arthritis, unspecified knee
- M00.07Staphylococcal arthritis, ankle and foot
- M00.071Staphylococcal arthritis, right ankle and foot
- M00.072Staphylococcal arthritis, left ankle and foot
- M00.079Staphylococcal arthritis, unspecified ankle and foot
- M00.08Staphylococcal arthritis, vertebrae
- M00.09Staphylococcal polyarthritis
- M00.1Pneumococcal arthritis and polyarthritis
- M00.10Pneumococcal arthritis, unspecified joint
- M00.11Pneumococcal arthritis, shoulder
- M00.111Pneumococcal arthritis, right shoulder
- M00.112Pneumococcal arthritis, left shoulder
- M00.119Pneumococcal arthritis, unspecified shoulder
- M00.12Pneumococcal arthritis, elbow
- M00.121Pneumococcal arthritis, right elbow
- M00.122Pneumococcal arthritis, left elbow
- M00.129Pneumococcal arthritis, unspecified elbow
- M00.13Pneumococcal arthritis, wrist
- M00.131Pneumococcal arthritis, right wrist
- M00.132Pneumococcal arthritis, left wrist
- M00.139Pneumococcal arthritis, unspecified wrist
- M00.14Pneumococcal arthritis, hand
- M00.141Pneumococcal arthritis, right hand
- M00.142Pneumococcal arthritis, left hand
- M00.149Pneumococcal arthritis, unspecified hand
- M00.15Pneumococcal arthritis, hip
- M00.151Pneumococcal arthritis, right hip
- M00.152Pneumococcal arthritis, left hip
- M00.159Pneumococcal arthritis, unspecified hip
- M00.16Pneumococcal arthritis, knee
- M00.161Pneumococcal arthritis, right knee
- M00.162Pneumococcal arthritis, left knee
- M00.169Pneumococcal arthritis, unspecified knee
- M00.17Pneumococcal arthritis, ankle and foot
- M00.171Pneumococcal arthritis, right ankle and foot
- M00.172Pneumococcal arthritis, left ankle and foot
- M00.179Pneumococcal arthritis, unspecified ankle and foot
- M00.18Pneumococcal arthritis, vertebrae
- M00.19Pneumococcal polyarthritis
- M00.2Other streptococcal arthritis and polyarthritis
- M00.20Other streptococcal arthritis, unspecified joint
- M00.21Other streptococcal arthritis, shoulder
- M00.211Other streptococcal arthritis, right shoulder
- M00.212Other streptococcal arthritis, left shoulder
- M00.219Other streptococcal arthritis, unspecified shoulder
- M00.22Other streptococcal arthritis, elbow
- M00.221Other streptococcal arthritis, right elbow
- M00.222Other streptococcal arthritis, left elbow
- M00.229Other streptococcal arthritis, unspecified elbow
- M00.23Other streptococcal arthritis, wrist
- M00.231Other streptococcal arthritis, right wrist
- M00.232Other streptococcal arthritis, left wrist
- M00.239Other streptococcal arthritis, unspecified wrist
- M00.24Other streptococcal arthritis, hand
- M00.241Other streptococcal arthritis, right hand
- M00.242Other streptococcal arthritis, left hand
- M00.249Other streptococcal arthritis, unspecified hand
- M00.25Other streptococcal arthritis, hip
- M00.251Other streptococcal arthritis, right hip
- M00.252Other streptococcal arthritis, left hip
- M00.259Other streptococcal arthritis, unspecified hip
- M00.26Other streptococcal arthritis, knee
- M00.261Other streptococcal arthritis, right knee
- M00.262Other streptococcal arthritis, left knee
- M00.269Other streptococcal arthritis, unspecified knee
- M00.27Other streptococcal arthritis, ankle and foot
- M00.271Other streptococcal arthritis, right ankle and foot
- M00.272Other streptococcal arthritis, left ankle and foot
- M00.279Other streptococcal arthritis, unspecified ankle and foot
- M00.28Other streptococcal arthritis, vertebrae
- M00.29Other streptococcal polyarthritis
- M00.8Arthritis and polyarthritis due to other bacteria
- M00.80Arthritis due to other bacteria, unspecified joint
- M00.81Arthritis due to other bacteria, shoulder
- M00.811Arthritis due to other bacteria, right shoulder
- M00.812Arthritis due to other bacteria, left shoulder
- M00.819Arthritis due to other bacteria, unspecified shoulder
- M00.82Arthritis due to other bacteria, elbow
- M00.821Arthritis due to other bacteria, right elbow
- M00.822Arthritis due to other bacteria, left elbow
- M00.829Arthritis due to other bacteria, unspecified elbow
- M00.83Arthritis due to other bacteria, wrist
- M00.831Arthritis due to other bacteria, right wrist
- M00.832Arthritis due to other bacteria, left wrist
- M00.839Arthritis due to other bacteria, unspecified wrist
- M00.84Arthritis due to other bacteria, hand
- M00.841Arthritis due to other bacteria, right hand
- M00.842Arthritis due to other bacteria, left hand
- M00.849Arthritis due to other bacteria, unspecified hand
- M00.85Arthritis due to other bacteria, hip
- M00.851Arthritis due to other bacteria, right hip
- M00.852Arthritis due to other bacteria, left hip
- M00.859Arthritis due to other bacteria, unspecified hip
- M00.86Arthritis due to other bacteria, knee
- M00.861Arthritis due to other bacteria, right knee
- M00.862Arthritis due to other bacteria, left knee
- M00.869Arthritis due to other bacteria, unspecified knee
- M00.87Arthritis due to other bacteria, ankle and foot
- M00.871Arthritis due to other bacteria, right ankle and foot
- M00.872Arthritis due to other bacteria, left ankle and foot
- M00.879Arthritis due to other bacteria, unspecified ankle and foot
- M00.88Arthritis due to other bacteria, vertebrae
- M00.89Polyarthritis due to other bacteria
- M00.9Pyogenic arthritis, unspecified
M00 MS-DRGs
As the principal diagnosis, the billable codes under M00 group to MS-DRG 548, 549, 550, or 400 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 548 Septic Arthritis with MCC (97 of 97 codes)
- DRG 549 Septic Arthritis with CC (97 of 97 codes)
- DRG 550 Septic Arthritis without CC/MCC (97 of 97 codes)
- DRG 400 Knee Procedures with Principal Diagnosis of Infection (13 of 97 codes)
Other codes that refer to M00
Notes on these codes point to M00.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Infectious Arthritis
Most kinds of arthritis cause pain and swelling in your joints. Joints are places where two bones meet, such as your elbow or knee. Infectious arthritis is an infection in the joint. The infection comes from a bacterial, viral, or fungal infection that spreads from another part of the body. Symptoms of infectious arthritis include:
Read more about infectious arthritis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
