L40.54 vs M14.641
L40.54 (Psoriatic juvenile arthropathy) compared with M14.641 (Charcôt's joint, right hand), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. M14.641 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).
Side by side
| L40.54Psoriatic juvenile arthropathy | M14.641Charcôt's joint, right hand | |
|---|---|---|
| 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 hand is a billable ICD-10-CM diagnosis code (M14.641). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources