Direct infections of joint in infectious and parasitic diseases classified elsewhere
In Infectious arthropathies (M00-M02), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
24 billable codes under M01: 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.
Also indexed as: Arthritis, due to or associated with, infectious disease NEC; Arthritis, in, infectious disease NEC
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Instructional notes
Excludes1: not coded here, use a different code
- arthropathy in Lyme disease (A69.23)
- gonococcal arthritis (A54.42)
- meningococcal arthritis (A39.83)
- mumps arthritis (B26.85)
- postinfective arthropathy (M02.-)
- postmeningococcal arthritis (A39.84)
- reactive arthritis (M02.3)
- rubella arthritis (B06.82)
- sarcoidosis arthritis (D86.86)
- typhoid fever arthritis (A01.04)
- tuberculosis arthritis (A18.01-A18.02)
Code first: code the underlying condition first, then this code
- underlying disease, such as:
- leprosy [Hansen's disease] (A30.-)
- mycoses (B35-B49)
- O'nyong-nyong fever (A92.1)
- paratyphoid fever (A01.1-A01.4)
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 M01
M01 can't be used on a claim. Pick a billable code below; grey headings group them.
- M01.XDirect infection of joint in infectious and parasitic diseases classified elsewhere
- M01.X0Direct infection of unspecified joint in infectious and parasitic diseases classified elsewhere
- M01.X1Direct infection of shoulder joint in infectious and parasitic diseases classified elsewhere
- M01.X11Direct infection of right shoulder in infectious and parasitic diseases classified elsewhere
- M01.X12Direct infection of left shoulder in infectious and parasitic diseases classified elsewhere
- M01.X19Direct infection of unspecified shoulder in infectious and parasitic diseases classified elsewhere
- M01.X2Direct infection of elbow in infectious and parasitic diseases classified elsewhere
- M01.X21Direct infection of right elbow in infectious and parasitic diseases classified elsewhere
- M01.X22Direct infection of left elbow in infectious and parasitic diseases classified elsewhere
- M01.X29Direct infection of unspecified elbow in infectious and parasitic diseases classified elsewhere
- M01.X3Direct infection of wrist in infectious and parasitic diseases classified elsewhere
- M01.X31Direct infection of right wrist in infectious and parasitic diseases classified elsewhere
- M01.X32Direct infection of left wrist in infectious and parasitic diseases classified elsewhere
- M01.X39Direct infection of unspecified wrist in infectious and parasitic diseases classified elsewhere
- M01.X4Direct infection of hand in infectious and parasitic diseases classified elsewhere
- M01.X41Direct infection of right hand in infectious and parasitic diseases classified elsewhere
- M01.X42Direct infection of left hand in infectious and parasitic diseases classified elsewhere
- M01.X49Direct infection of unspecified hand in infectious and parasitic diseases classified elsewhere
- M01.X5Direct infection of hip in infectious and parasitic diseases classified elsewhere
- M01.X51Direct infection of right hip in infectious and parasitic diseases classified elsewhere
- M01.X52Direct infection of left hip in infectious and parasitic diseases classified elsewhere
- M01.X59Direct infection of unspecified hip in infectious and parasitic diseases classified elsewhere
- M01.X6Direct infection of knee in infectious and parasitic diseases classified elsewhere
- M01.X61Direct infection of right knee in infectious and parasitic diseases classified elsewhere
- M01.X62Direct infection of left knee in infectious and parasitic diseases classified elsewhere
- M01.X69Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhere
- M01.X7Direct infection of ankle and foot in infectious and parasitic diseases classified elsewhere
- M01.X71Direct infection of right ankle and foot in infectious and parasitic diseases classified elsewhere
- M01.X72Direct infection of left ankle and foot in infectious and parasitic diseases classified elsewhere
- M01.X79Direct infection of unspecified ankle and foot in infectious and parasitic diseases classified elsewhere
- M01.X8Direct infection of vertebrae in infectious and parasitic diseases classified elsewhere
- M01.X9Direct infection of multiple joints in infectious and parasitic diseases classified elsewhere
M01 MS-DRGs
As the principal diagnosis, the billable codes under M01 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 (24 of 24 codes)
- DRG 549 Septic Arthritis with CC (24 of 24 codes)
- DRG 550 Septic Arthritis without CC/MCC (24 of 24 codes)
- DRG 400 Knee Procedures with Principal Diagnosis of Infection (3 of 24 codes)
Other codes that refer to M01
Notes on these codes point to M01.
- M02 Excludes1: direct infections of joint in infectious and parasitic diseases classified elsewhere (M01.-)
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.
