M25.11

Non-billable

Fistula, shoulder

M25.11 is the ICD-10-CM code for Fistula, shoulder. It is a non-billable category code — use a more specific child code such as M25.111 for billing.

Status
Header (non-billable)
Chapter
M00-M99
Parent
M25.1
Subcodes
3
Edition
FY2026

M00-M99 Diseases of the musculoskeletal system and connective tissue

What this means — in plain language

MedlinePlus · NIH

A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries. Some people are born with a fistula. Other common causes of fistulas include: Complications from surgery Injury…

Read more about Fistulas at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

No additional coding notes for this code.

Frequently asked questions

What is ICD-10 code M25.11?
M25.11 is the ICD-10-CM code for "Fistula, shoulder". It falls under M00-M99 Diseases of the musculoskeletal system and connective tissue.
Is M25.11 a billable code?
No — M25.11 is a non-billable header code. Use a more specific child code (such as M25.111) for billing.
What are the subcodes of M25.11?
M25.11 has 3 more specific child codes, including M25.111, M25.112, M25.119.

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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