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v1.0.0
ICD-10 Guide
DiagnosesHemarthrosis

Hemarthrosis

ICD-10 Coding for Hemarthrosis(M25.061, M25.062)

PRIMARY SPECIALTYHematology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hemarthrosis?
Essential facts and insights about Hemarthrosis

Key Clinical Considerations:

  • Joint swelling and pain
  • Presence of blood in joint fluid (arthrocentesis)
  • Limited range of motion in affected joint

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of bleeding disorders or trauma
  • Detailed description of joint involvement
  • Results of imaging studies (e.g., MRI, ultrasound)

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding based on underlying cause.
  • Common errors include misclassifying the type of hemarthrosis.

Code Exclusions

Important Exclusions

  • Hemarthrosis due to infection
  • Hemarthrosis due to malignancy

Related ICD-10 Codes

Primary Codes
719.7
Hemarthrosis, unspecified
273.3
Hemarthrosis due to coagulation defect
Ancillary Codes
D66
Differential Codes
S83.511A
S83.512A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Hematology

Specialty Applications

  • Patients with bleeding disorders, trauma patients
  • Emergency departments, outpatient clinics, orthopedic settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient history, physical exam findings, and diagnostic test results.

Billing considerations?

Ensure accurate coding to reflect the cause and location of hemarthrosis.