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M05.011 vs M05.019

M05.011 (Felty's syndrome, right shoulder) compared with M05.019 (Felty's syndrome, unspecified shoulder), from the official CMS tabular data. M05.011 and M05.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.011
Right
Felty's syndrome, right shoulder
M05.019
Unspecified
Felty's syndrome, 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. M05.011 and M05.019 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

M05.011Felty's syndrome, right shoulderM05.019Felty's syndrome, 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)
DefinitionFelty's syndrome, right shoulder is a billable ICD-10-CM diagnosis code (M05.011).Felty's syndrome, unspecified shoulder is a billable ICD-10-CM diagnosis code (M05.019).

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