Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesInfectious arthropathiesICD-10-CM m00-pyogenic-arthritis
    Ask Trek AI about this page

    ICD-10-CM Code For Pyogenic Arthritis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M00 includes bacterial and other pyogenic infections of synovial joints, including native and prosthetic joint involvement, and specifies causative organisms and joint sites. These ICD-10-CM diagnosis codes are used to document clinical scenarios such as acute septic arthritis, joint infections secondary to hematogenous spread or direct inoculation, capturing disease severity, organism specificity, and related complications. Accurate coding within the ICD-10-CM M00 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Pyogenic Arthritis: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM M00: Pyogenic Arthritis Overview

    The ICD-10-CM M00 group represents pyogenic (septic) arthritis, infections of synovial joints caused by bacteria and other pyogenic organisms. These diagnoses target the musculoskeletal system, specifically infectious processes within joints, and may involve prosthetic joints or contiguous bone. Accurate coding matters for reimbursement because it captures the severity, organism specificity, and any complications that influence payment and resource use.

    Table of contents

    Progress1 / 5

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a clinician documents a joint infection due to bacteria or other pyogenic organisms, including septic arthritis and prosthetic joint infections. Select codes that reflect the specific joint, organism if known, and any related osteomyelitis or complications when documented.

    ICD-10-CM Codes

    97 rows

    ICD-10-CM CodeDescription
    M00.00Staphylococcal arthritis, unspecified joint
    M00.011Staphylococcal arthritis, right shoulder
    M00.012Staphylococcal arthritis, left shoulder
    M00.019Staphylococcal arthritis, unspecified shoulder
    M00.021Staphylococcal arthritis, right elbow
    M00.022Staphylococcal arthritis, left elbow
    M00.029Staphylococcal arthritis, unspecified elbow
    M00.031Staphylococcal arthritis, right wrist
    M00.032Staphylococcal arthritis, left wrist
    M00.039Staphylococcal arthritis, unspecified wrist
    M00.041Staphylococcal arthritis, right hand
    M00.042Staphylococcal arthritis, left hand
    M00.049Staphylococcal arthritis, unspecified hand
    M00.051Staphylococcal arthritis, right hip
    M00.052Staphylococcal arthritis, left hip
    M00.059Staphylococcal arthritis, unspecified hip
    M00.061Staphylococcal arthritis, right knee
    M00.062Staphylococcal arthritis, left knee
    M00.069Staphylococcal arthritis, unspecified knee
    M00.071Staphylococcal arthritis, right ankle and foot

    Showing 1–20 of 97

    DRG Codes

    6 rows

    DRG CodeDescription
    485Knee Procedures with Principal Diagnosis of Infection with MCC
    486Knee Procedures with Principal Diagnosis of Infection with CC
    487Knee Procedures with Principal Diagnosis of Infection without CC/MCC
    548Septic Arthritis with MCC
    549Septic Arthritis with CC
    550Septic Arthritis without CC/MCC

    Related Codes

    M01-DIRECT-INFECTIONS-OF-JOINT

    ICD-10-CM Code For Direct Infections Of Joint In Infectious And Parasitic Diseases Classified Elsewhere: Group Overview

    M02-POSTINFECTIVE-AND-REACTIVE-ARTHROPATHIES

    ICD-10-CM Code For Postinfective And Reactive Arthropathies: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.