ICD-10 Code for knee pain

The ICD-10-CM code for knee pain is M25.561 when documented without further specification. Knee pain codes to the M25.56- laterality family: M25.561 right, M25.562 left, M25.569 unspecified. The primary lists right knee — assign the side the record documents.

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Symptom code vs. confirmed diagnosis

Knee pain is a symptom code (M25.56-), appropriate when no specific knee diagnosis is established. When osteoarthritis (M17.-), an internal derangement (M23.-), or an injury is documented, code that condition instead of the pain.

Which Code Should You Use?

M25.561 ✓ Billable — Pain in right knee

Pain in right knee.

M25.562 ✓ Billable — Pain in left knee

Pain in left knee.

M25.569 ✓ Billable — Pain in unspecified knee

Pain in unspecified knee.

What to Document

  • Laterality — right, left, or unspecified (drives M25.561/562/569).
  • Whether a specific knee diagnosis is established (OA M17.-, derangement M23.-, injury).
  • Acute injury vs chronic/atraumatic pain.

Common Documentation Pitfalls

  • Assigning M25.569 (unspecified) when the note states right or left knee.
  • Coding the pain symptom when a definitive knee diagnosis (e.g. osteoarthritis M17.-) is documented.

Coding Notes

M25.56- is laterality-driven (right 561 / left 562 / unspecified 569). The primary defaults to right, but assign the documented side. Once OA (M17.-) or an internal derangement (M23.-) is confirmed, code that instead of the pain.

References

Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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