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Home/Diagnosis/ICD-10 Coding for Elbow Pain

ICD-10 Coding for Elbow Pain

M25.521
M25.522
M77.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for elbow pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tennis Elbow
Golfer's Elbow
Epicondylitis
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Key Information: ICD-10 Coding for Elbow Pain

Essential facts and insights about ICD-10 Coding for Elbow Pain

Use ICD-10 code M25.521 for pain in right elbow, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right elbow

Billable Code
M25.521
Billable

Diagnostic Criteria

  • • Presence of right elbow pain without specific diagnosis.

Applicable To

  • • Right elbow pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Pain in left elbow

Billable Code
M25.522
Billable

Diagnostic Criteria

  • • Presence of left elbow pain without specific diagnosis.

Applicable To

  • • Left elbow pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Lateral epicondylitis

Non-Billable
M77.1
Non-Billable

Diagnostic Criteria

  • • Pain at lateral epicondyle
  • • Positive Cozen’s test

Applicable To

  • • Tennis elbow

Important Notes

  • • Document specific tests like Cozen’s to support this code.

Sprain of elbow and forearm

Non-Billable
S53.4xx
Non-Billable

Diagnostic Criteria

  • • Medial elbow instability
  • • Positive valgus stress test

Applicable To

  • • UCL sprain

Important Notes

  • • Document specific tests like valgus stress to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

G56.0

Carpal tunnel syndrome

Use if nerve involvement is suspected alongside elbow pain.

Frequently Asked Questions

What is the ICD-10 code for right elbow pain?

The ICD-10 code for right elbow pain is M25.521. It is used when the pain is localized to the right elbow without a specific underlying condition.

How do you code lateral epicondylitis?

Lateral epicondylitis, also known as tennis elbow, is coded as M77.1 in ICD-10. Documentation should include pain at the lateral epicondyle and positive Cozen’s test.

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