M00.859 Arthritis due to other bacteria, unspecified hip

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 M00.8 Arthritis and polyarthritis due to other bacteria

Use additional code

• code (B96) to identify bacteria

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) 548-550 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 041.89 Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria (approximate)
• 711.05 Pyogenic arthritis, pelvic region and thigh (approximate)
• 711.05 Pyogenic arthritis, pelvic region and thigh (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

• M00.842 Arthritis due to other bacteria, left hand
• M00.849 Arthritis due to other bacteria, unspecified hand
• M00.85 Arthritis due to other bacteria, hip
• M00.851 Arthritis due to other bacteria, right hip
• M00.852 Arthritis due to other bacteria, left hip
• M00.859 Arthritis due to other bacteria, unspecified hip (this code)
• M00.86 Arthritis due to other bacteria, knee
• M00.861 Arthritis due to other bacteria, right knee
• M00.862 Arthritis due to other bacteria, left knee
• M00.869 Arthritis due to other bacteria, unspecified knee
• M00.87 Arthritis due to other bacteria, ankle and foot