M00.0UpcomingCategory · further specificity required

Staphylococcal arthritis and polyarthritis

Code-level instructions

Use additional code

code (B95.61-B95.8) to identify bacterial agent

Excludes 2 · 11

Chapters 13 · Diseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes 2

arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

M00 · Pyogenic arthritis

Excludes 2

infection and inflammatory reaction due to internal joint prosthesis (T84.5-)

More specific codes

M00.00Staphylococcal arthritis, unspecified joint M00.01Staphylococcal arthritis, shoulder M00.02Staphylococcal arthritis, elbow M00.03Staphylococcal arthritis, wrist M00.04Staphylococcal arthritis, hand M00.05Staphylococcal arthritis, hip M00.06Staphylococcal arthritis, knee M00.07Staphylococcal arthritis, ankle and foot M00.08Staphylococcal arthritis, vertebrae M00.09Staphylococcal polyarthritis

Claims & coverage

When ICD-10-CM is required

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 ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2021

ChangedUnchanged

FY2021

Effective from 2020-10-01

Code-level rules changed
Inherited rules changed

Staphylococcal arthritis and polyarthritis

Category — select a more specific code

CDC/NCHS · FY2021

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	Code-level rules changed · Inherited rules changed
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

Code-level instructions

Use additional code

code (B95.61-B95.8) to identify bacterial agent

Inherited instructions

Chapters 13 · Diseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes 2

arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

M00-M25 · Arthropathies (M00-M25)

Includes

Disorders affecting predominantly peripheral (limb) joints

M00-M02 · Infectious arthropathies (M00-M02)

Note

This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship:
a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;
b) indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

M00 · Pyogenic arthritis

Excludes 2

infection and inflammatory reaction due to internal joint prosthesis (T84.5-)

More specific codes

M00.00Staphylococcal arthritis, unspecified jointBillable / specific M00.01Staphylococcal arthritis, shoulderCategory · further specificity required M00.02Staphylococcal arthritis, elbowCategory · further specificity required M00.03Staphylococcal arthritis, wristCategory · further specificity required M00.04Staphylococcal arthritis, handCategory · further specificity required M00.05Staphylococcal arthritis, hipCategory · further specificity required M00.06Staphylococcal arthritis, kneeCategory · further specificity required M00.07Staphylococcal arthritis, ankle and footCategory · further specificity required M00.08Staphylococcal arthritis, vertebraeBillable / specific M00.09Staphylococcal polyarthritisBillable / specific

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
M00.1	Pneumococcal arthritis and polyarthritis	Category · further specificity required
M00.2	Other streptococcal arthritis and polyarthritis	Category · further specificity required
M00.8	Arthritis and polyarthritis due to other bacteria	Category · further specificity required
M00.9	Pyogenic arthritis, unspecified	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

M00.0UpcomingCategory · further specificity required

Staphylococcal arthritis and polyarthritis

Code-level instructions

Use additional code

code (B95.61-B95.8) to identify bacterial agent

Excludes 2 · 11

Chapters 13 · Diseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes 2

arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

M00 · Pyogenic arthritis

Excludes 2

infection and inflammatory reaction due to internal joint prosthesis (T84.5-)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2021

ChangedUnchanged

FY2021

Effective from 2020-10-01

Code-level rules changed
Inherited rules changed

Staphylococcal arthritis and polyarthritis

Category — select a more specific code

CDC/NCHS · FY2021

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	Code-level rules changed · Inherited rules changed
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

Code-level instructions

Use additional code

code (B95.61-B95.8) to identify bacterial agent

Inherited instructions

Chapters 13 · Diseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes 2

arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

M00-M25 · Arthropathies (M00-M25)

Includes

Disorders affecting predominantly peripheral (limb) joints

M00-M02 · Infectious arthropathies (M00-M02)

Note

This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship:
a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;
b) indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

M00 · Pyogenic arthritis

Excludes 2

infection and inflammatory reaction due to internal joint prosthesis (T84.5-)

More specific codes

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
M00.1	Pneumococcal arthritis and polyarthritis	Category · further specificity required
M00.2	Other streptococcal arthritis and polyarthritis	Category · further specificity required
M00.8	Arthritis and polyarthritis due to other bacteria	Category · further specificity required
M00.9	Pyogenic arthritis, unspecified	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗