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M00.111 vs M00.119

M00.111 (Pneumococcal arthritis, right shoulder) compared with M00.119 (Pneumococcal arthritis, unspecified shoulder), from the official CMS tabular data. M00.111 and M00.119 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M00.111
Right
Pneumococcal arthritis, right shoulder
M00.119
Unspecified
Pneumococcal 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. M00.111 and M00.119 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

M00.111Pneumococcal arthritis, right shoulderM00.119Pneumococcal 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)
DefinitionPneumococcal arthritis, right shoulder is a billable ICD-10-CM diagnosis code (M00.111).Pneumococcal arthritis, unspecified shoulder is a billable ICD-10-CM diagnosis code (M00.119).

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