L40.54 (Psoriatic juvenile arthropathy) compared with M14.611 (Charcôt's joint, right shoulder), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Not coded here — these two are mutually exclusive.
“juvenile psoriatic arthropathy (L40.54)”
An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.
Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a
No — do not report together. M14.611 carries an Excludes1 note covering L40.54: “juvenile psoriatic arthropathy (L40.54)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
| L40.54Psoriatic juvenile arthropathy | M14.611Charcôt's joint, right shoulder | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Psoriatic juvenile arthropathy is a billable ICD-10-CM diagnosis code (L40.54). | Charcôt's joint, right shoulder is a billable ICD-10-CM diagnosis code (M14.611). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources