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M05.321 vs M05.322

M05.321 (Rheumatoid heart disease with rheumatoid arthritis of right elbow) compared with M05.322 (Rheumatoid heart disease with rheumatoid arthritis of left elbow), from the official CMS tabular data. M05.321 and M05.322 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.321
Right
Rheumatoid heart disease with rheumatoid arthritis of right elbow
M05.322
Left
Rheumatoid heart disease with rheumatoid arthritis of left elbow

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. M05.321 and M05.322 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

M05.321Rheumatoid heart disease with rheumatoid arthritis of right elbowM05.322Rheumatoid heart disease with rheumatoid arthritis of left elbow
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)
DefinitionRheumatoid heart disease with rheumatoid arthritis of right elbow is a billable ICD-10-CM diagnosis code (M05.321).Rheumatoid heart disease with rheumatoid arthritis of left elbow is a billable ICD-10-CM diagnosis code (M05.322).

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