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M00.012 vs M00.019

M00.012 (Staphylococcal arthritis, left shoulder) compared with M00.019 (Staphylococcal arthritis, unspecified shoulder), from the official CMS tabular data. M00.012 and M00.019 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M00.012
Left
Staphylococcal arthritis, left shoulder
M00.019
Unspecified
Staphylococcal arthritis, unspecified shoulder

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M00.012 and M00.019 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M00.012Staphylococcal arthritis, left shoulderM00.019Staphylococcal arthritis, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionStaphylococcal arthritis, left shoulder is a billable ICD-10-CM diagnosis code (M00.012).Staphylococcal arthritis, unspecified shoulder is a billable ICD-10-CM diagnosis code (M00.019).
Use additional code
code (B95.61-B95.8) to identify bacterial agent
code (B95.61-B95.8) to identify bacterial agent

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources