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M00.861 vs M00.862

M00.861 (Arthritis due to other bacteria, right knee) compared with M00.862 (Arthritis due to other bacteria, left knee), from the official CMS tabular data. M00.861 and M00.862 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M00.861
Right
Arthritis due to other bacteria, right knee
M00.862
Left
Arthritis due to other bacteria, left knee

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. M00.861 and M00.862 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

M00.861Arthritis due to other bacteria, right kneeM00.862Arthritis due to other bacteria, left knee
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)
DefinitionArthritis due to other bacteria, right knee is a billable ICD-10-CM diagnosis code (M00.861).Arthritis due to other bacteria, left knee is a billable ICD-10-CM diagnosis code (M00.862).
Use additional code
code (B96) to identify bacteria
code (B96) to identify bacteria

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