Skip to main content

M05.412 vs M05.419

M05.412 (Rheumatoid myopathy with rheumatoid arthritis of left shoulder) compared with M05.419 (Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder), from the official CMS tabular data. M05.412 and M05.419 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.412
Left
Rheumatoid myopathy with rheumatoid arthritis of left shoulder
M05.419
Unspecified
Rheumatoid myopathy with rheumatoid arthritis of 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. M05.412 and M05.419 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

M05.412Rheumatoid myopathy with rheumatoid arthritis of left shoulderM05.419Rheumatoid myopathy with rheumatoid arthritis of 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)
DefinitionRheumatoid myopathy with rheumatoid arthritis of left shoulder is a billable ICD-10-CM diagnosis code (M05.412).Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder is a billable ICD-10-CM diagnosis code (M05.419).

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