Effective from
- Added
Primary osteoarthritis, other specified site
Billable diagnosis code
CDC/NCHS · FY2021polyarthritis (M15.-)
osteoarthritis of spine (M47.-)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗Grouping depends on the complete encounter and CMS grouper logic.
2026-04-01 – 2026-09-30
CMS · MS-DRG 43.1First observed · 2020-10-01
Latest recorded change · FY2021
Effective from
Primary osteoarthritis, other specified site
Billable diagnosis code
CDC/NCHS · FY2021| All editions | Effective from | Code history |
|---|---|---|
| FY2021 | 2020-10-01 | Added |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Disorders affecting predominantly peripheral (limb) joints
osteoarthritis of spine (M47.-)
polyarthritis (M15.-)
Historical assignments from the CDC conversion table support data retrieval. They do not authorize substituting a previous code for the current code.
Previous assignment: M19.91
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M19.01 | Primary osteoarthritis, shoulder | Category · further specificity required |
| M19.02 | Primary osteoarthritis, elbow | Category · further specificity required |
| M19.03 | Primary osteoarthritis, wrist | Category · further specificity required |
| M19.04 | Primary osteoarthritis, hand | Category · further specificity required |
| M19.07 | Primary osteoarthritis ankle and foot | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗