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M05.811 vs M05.812

M05.811 (Other rheumatoid arthritis with rheumatoid factor of right shoulder) compared with M05.812 (Other rheumatoid arthritis with rheumatoid factor of left shoulder), from the official CMS tabular data. M05.811 and M05.812 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M05.811
Right
Other rheumatoid arthritis with rheumatoid factor of right shoulder
M05.812
Left
Other rheumatoid arthritis with rheumatoid factor 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. M05.811 and M05.812 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

M05.811Other rheumatoid arthritis with rheumatoid factor of right shoulderM05.812Other rheumatoid arthritis with rheumatoid factor 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)
DefinitionOther rheumatoid arthritis with rheumatoid factor of right shoulder is a billable ICD-10-CM diagnosis code (M05.811).Other rheumatoid arthritis with rheumatoid factor of left shoulder is a billable ICD-10-CM diagnosis code (M05.812).

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