M00.069 Staphylococcal arthritis, unspecified knee

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from M00 Pyogenic arthritis

Excludes2 (not included here)

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

Applies from M00.0 Staphylococcal arthritis and polyarthritis

Use additional code

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

Risk adjustment (HCC)

• CMS-HCC V28: HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
• CMS-HCC V22: HCC 39 — Bone/Joint/Muscle Infections/Necrosis
• ESRD V24: HCC 39

MS-DRG index

Defines the logic of DRG(s) 485-487 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 041.10 Staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified (approximate)
• 711.06 Pyogenic arthritis, lower leg (approximate)
• 711.06 Pyogenic arthritis, lower leg (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Nearby codes

• M00.052 Staphylococcal arthritis, left hip
• M00.059 Staphylococcal arthritis, unspecified hip
• M00.06 Staphylococcal arthritis, knee
• M00.061 Staphylococcal arthritis, right knee
• M00.062 Staphylococcal arthritis, left knee
• M00.069 Staphylococcal arthritis, unspecified knee (this code)
• M00.07 Staphylococcal arthritis, ankle and foot
• M00.071 Staphylococcal arthritis, right ankle and foot
• M00.072 Staphylococcal arthritis, left ankle and foot
• M00.079 Staphylococcal arthritis, unspecified ankle and foot
• M00.08 Staphylococcal arthritis, vertebrae