M25.161
Billable

Fistula, right knee

Billable / Specific Code

What is Fistula, right knee?

ICD-10-CM M25.161 is the diagnosis code for Fistula, right knee. This code falls under the section "Other joint disorders" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for M25.161

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where M25.161 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is M25.161 a billable ICD-10-CM code?

Yes, M25.161 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does M25.161 mean?

M25.161 is the ICD-10-CM diagnosis code for "Fistula, right knee". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M25.161?

The parent code of M25.161 is M25.16 ("Fistula, knee"). M25.161 provides a more specific classification within this category.

What section is M25.161 in?

M25.161 is located in Section M20-M25 — "Other joint disorders" within Chapter 13 of the ICD-10-CM Tabular List.

When should I use M25.161?

Use M25.161 when the patients documented diagnosis matches "Fistula, right knee" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Fistula, right knee?

The ICD-10-CM code for Fistula, right knee is M25.161.

Can M25.161 be used for primary diagnosis?

Yes, M25.161 can be used as a primary diagnosis code since it is billable and specific.

What chapter is M25.161 in?

M25.161 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M25.161 valid for 2026?

Yes, M25.161 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM25.16Fistula, kneeNext →M25.162Fistula, left knee
Code Details
M25.161
Fistula, right knee
Billable / Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M20-M25 — Other joint disorders
2026 ICD-10-CM