ICD-10-CM · General

M24.30

Pathological dislocation of a joint that occurs due to disease or pathological process rather than acute trauma, reported when the specific joint is not documented or does not have a more precise code available.

Verified May 8, 2026 · 5 sources ↓

Status
Billable
Chapter
13
Related CPT
13
Region
General
Drawn from CDCICD10DataAAPCJosptCMS

Documentation tips

What should appear in the chart to support M24.30.

Source · Editorial brief grounded in 5 cited references ↓

  • Identify the specific joint by name in every encounter note — shoulder, elbow, wrist, hip, knee, ankle — so you can drop to a lateralized M24.3x code instead of the unspecified M24.30.
  • Document the underlying pathological cause driving the dislocation (e.g., rheumatoid arthritis, osteonecrosis, septic arthritis, neuromuscular disorder) and code that condition as a co-diagnosis.
  • Distinguish pathological dislocation from traumatic dislocation: if the mechanism is acute injury, S-codes are correct; M24.30 applies only when disease process is the etiology.
  • Record imaging findings (X-ray, MRI, CT) that confirm joint displacement and support the pathological — not traumatic — etiology.
  • Note laterality (right vs. left) explicitly; even if the joint type is unclear, laterality documentation preserves specificity if the joint is later identified.

Related CPT procedures

Procedure codes commonly billed with M24.30. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

27700 $669.35
Surgical reconstruction or revision of the ankle joint, typically to address post-surgical complications, joint instability, or arthritic destruction of the tibiotalar articulation.
27702 $885.12
Total ankle arthroplasty with implant — surgical replacement of the tibiotalar joint using a prosthetic device to eliminate pain and restore motion.
23650 $433.88
Closed reduction of a shoulder dislocation performed with manual manipulation and without anesthesia, treating glenohumeral joint displacement non-operatively.
23655 $418.85
Closed reduction of a shoulder joint dislocation performed under anesthesia, without surgical incision.
24600 $476.63
Closed treatment of a simple elbow dislocation performed without anesthesia, involving manual reduction and stabilization of the joint.
24605 $479.30
Closed treatment of elbow dislocation requiring anesthesia — the joint is manually reduced without an incision, but the complexity necessitates general or regional anesthesia.
27250 $174.69
Closed manual reduction of a traumatic hip dislocation performed without anesthesia — the femoral head is physically manipulated back into the acetabulum using skilled technique alone.
27252 $718.45
Closed reduction of a traumatic hip dislocation performed under anesthesia, manipulating the femoral head back into the acetabulum without surgical incision.
97110 $29.06
Therapeutic exercise billed per 15-minute unit, targeting strength, endurance, range of motion, or flexibility with direct one-on-one patient contact.
73564 $49.43
Radiologic examination of the knee consisting of four or more views, including oblique and tunnel projections, for a complete diagnostic workup.
73221 $205.08
MRI of any upper extremity joint — shoulder, elbow, or wrist — performed without contrast material.
73521 $41.75
Bilateral hip X-ray examination capturing two radiographic views of both hips, including the pelvis when performed.
97530 View procedure details

Common coding pitfalls

The recurring mistakes coders make with M24.30 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Using M24.30 when the joint is documented in the record — if the note names the joint, a specific M24.3x code with proper laterality is required; M24.30 is not a shortcut for any unspecified scenario.
  • Confusing pathological dislocation (M24.3x) with traumatic dislocation — if the patient sustained an acute injury, use the appropriate S-code with 7th-character A (initial), D (subsequent), or S (sequela), not an M-code.
  • Failing to code the underlying disease that caused the pathological dislocation; M24.30 rarely stands alone and payers may expect an etiology code (e.g., rheumatoid arthritis, osteomyelitis) linked to it.
  • Assigning M24.30 for recurrent dislocation — recurrent dislocation/subluxation maps to M24.4x, not M24.3x.
  • Overlooking that temporomandibular joint disorders are excluded from M24 and belong under M26.6x.

Clinical context

Source · Editorial summary grounded in 5 cited references ↓

M24.30 captures pathological joint dislocation — displacement caused by an underlying disease process (e.g., inflammatory arthropathy, infection, neoplasm, neuromuscular disease) rather than acute injury — when the affected joint is not specified in the documentation. It sits under parent code M24.3 (Pathological dislocation of joint, not elsewhere classified) and is the least-specific billable option in that subcategory.

Before assigning M24.30, exhaust the joint-specific codes under M24.3. The subcategory includes lateralized codes for shoulder (M24.311–M24.319), elbow (M24.321–M24.329), wrist (M24.331–M24.339), and additional joints through M24.39. If the joint is identified in the record, a more specific code is required — M24.30 is reserved for cases where documentation genuinely fails to name the joint. Payers may query or deny M24.30 if operative or imaging reports identify the joint clearly.

M24.3 is also recognized in the JOSPT clinical practice guidelines as an ICD-10 code associated with nonarthritic hip joint pain when pathological dislocation or subluxation is part of the clinical picture. For hip-specific pathological dislocation, use the appropriate hip laterality code under M24.35x rather than M24.30. M24.30 groups into MS-DRG 562/563 (Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh) under MS-DRG v43.0.

Sibling codes

Other billable codes under M24.3 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 5 cited references ↓

01When is M24.30 appropriate versus a more specific M24.3x code?
M24.30 is appropriate only when the documentation genuinely does not identify the joint involved. If any clinical note, imaging report, or operative record names the joint, use the corresponding lateralized M24.3x code (e.g., M24.351 for right hip, M24.311 for right shoulder).
02Does M24.30 apply to traumatic dislocations?
No. Traumatic dislocations are coded with S-codes (injury chapter), using 7th-character A for initial encounter, D for subsequent, and S for sequela. M24.30 is reserved for dislocation caused by an underlying disease or pathological process, not acute trauma.
03What underlying conditions commonly drive a pathological dislocation diagnosis?
Rheumatoid arthritis, septic arthritis, osteonecrosis, neuromuscular disorders (e.g., cerebral palsy, stroke sequelae), and neoplastic joint destruction are common etiologies. Always code the underlying condition alongside M24.30.
04How does M24.30 differ from M24.4x (recurrent dislocation)?
M24.3x captures dislocation caused by a pathological process; M24.4x captures recurrent dislocation or subluxation regardless of etiology. If the chart documents repeated episodes of dislocation as the primary problem rather than an active disease destroying the joint, M24.4x is more accurate.
05What MS-DRG does M24.30 group into?
Under MS-DRG v43.0, M24.30 groups into DRG 562 (Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC) or DRG 563 (without MCC), per icd10data.com's 2026 grouper mapping.
06Can M24.30 be used for hip pathological dislocation associated with nonarthritic hip joint pain?
JOSPT clinical practice guidelines list M24.3 as associated with nonarthritic hip joint pain, but you should use the hip-specific code (M24.351 right hip, M24.352 left hip, M24.359 unspecified hip) rather than M24.30, provided laterality is documented.
07Is M24.30 excluded from any joint categories?
Yes. Temporomandibular joint disorders are excluded from M24 and belong under M26.6x. Current (acute) dislocations of any joint also fall outside M24.3 — those are coded with the appropriate S-code for the body region injured.

Mira AI Scribe

Mira captures the joint name, laterality, and the documented pathological etiology (e.g., inflammatory arthritis, infection, neuromuscular disease) from the encounter to support a specific M24.3x code. If the scribe records that detail, you avoid defaulting to M24.30 — the unspecified fallback that flags specificity gaps on payer review and can trigger a query or denial when imaging reports clearly identify the joint.

See how Mira captures M24.30 documentation

Related ICD-10 codes

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