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M05.511 vs M05.512

M05.511 (Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder) compared with M05.512 (Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder), from the official CMS tabular data. M05.511 and M05.512 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.511
Right
Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512
Left
Rheumatoid polyneuropathy with rheumatoid arthritis of left 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. M05.511 and M05.512 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

M05.511Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulderM05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left 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 polyneuropathy with rheumatoid arthritis of right shoulder is a billable ICD-10-CM diagnosis code (M05.511).Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder is a billable ICD-10-CM diagnosis code (M05.512).

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