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M00.9

Billable

Pyogenic arthritis, unspecified

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Additional Information

From parent codes: M00-M99 (Chapter 13)

Excludes 2 — Not Included HereFrom M00-M99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • 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)
NotesFrom M00-M99

Additional notes from parent codes that apply to this code.

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

Inpatient DRG Payments

DRG 486147 discharges

Knee Procedures With Principal Diagnosis Of Infection With Cc

Avg. Medicare Payment

$17,606

Total Payment$23,210
Patient Responsibility$5,604
Hospital Charge$101,672
DRG 48511 discharges

Knee Procedures With Principal Diagnosis Of Infection With Mcc

Avg. Medicare Payment

$34,628

Total Payment$45,000
Patient Responsibility$10,372
Hospital Charge$144,796
DRG 48711 discharges

Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc

Avg. Medicare Payment

$15,235

Total Payment$18,357
Patient Responsibility$3,121
Hospital Charge$102,438