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M05.611 vs M05.619

M05.611 (Rheumatoid arthritis of right shoulder with involvement of other organs and systems) compared with M05.619 (Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems), from the official CMS tabular data. M05.611 and M05.619 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.611
Right
Rheumatoid arthritis of right shoulder with involvement of other organs and systems
M05.619
Unspecified
Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems

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. M05.611 and M05.619 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

M05.611Rheumatoid arthritis of right shoulder with involvement of other organs and systemsM05.619Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems
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 arthritis of right shoulder with involvement of other organs and systems is a billable ICD-10-CM diagnosis code (M05.611).Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems is a billable ICD-10-CM diagnosis code (M05.619).

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