Billable FY2026 ICD-10-CM diagnosis code, knee region. What it covers, how to bill it cleanly, and what these patients sound like when they call.
Pain in the left knee, the mirror of M25.561. The M25.56- family carries laterality for knee pain as a presenting symptom, and it commonly supports initial imaging and evaluation visits before a structural code takes over.
| Code | Description |
|---|---|
| M25.561 | Pain in right knee |
| M25.569 | Pain in unspecified knee |
| M25.461 | Effusion, right knee |
| M25.462 | Effusion, left knee |
| M25.469 | Effusion, unspecified knee |
| M25.511 | Pain in right shoulder |
Symptom-code callers are triage-sensitive: most are routine scheduling, but pain out of proportion after an injury or a hot, swollen joint changes the routing. A phone workflow that asks 2 screening questions sorts the routine from the urgent before the schedule does.
ClinicFlow's voice AI runs this intake on every call for joint replacement practices: capturing the story, applying your routing rules, and booking the right visit type with the right surgeon. See voice AI for joint replacement practices or the Call Library for how each call type is handled.
M25.562 is the FY2026 ICD-10-CM code for pain in left knee. Pain in the left knee, the mirror of M25.
Whatever the workup shows: osteoarthritis (M17 family), meniscal pathology, ligament injury, or another structural diagnosis. The symptom code is a bridge, not a destination.
Yes. M25.562 appears in the official FY2026 ICD-10-CM code set (effective October 1, 2025). ICD-10-CM is public-domain CMS data; verify annually as codes are revised each fiscal year.
ClinicFlow answers all of them, 24/7, and books them with the right surgeon.
