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M06.012 vs M06.019

M06.012 (Rheumatoid arthritis without rheumatoid factor, left shoulder) compared with M06.019 (Rheumatoid arthritis without rheumatoid factor, unspecified shoulder), from the official CMS tabular data. M06.012 and M06.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M06.012
Left
Rheumatoid arthritis without rheumatoid factor, left shoulder
M06.019
Unspecified
Rheumatoid arthritis without rheumatoid factor, 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. M06.012 and M06.019 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

M06.012Rheumatoid arthritis without rheumatoid factor, left shoulderM06.019Rheumatoid arthritis without rheumatoid factor, 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 arthritis without rheumatoid factor, left shoulder is a billable ICD-10-CM diagnosis code (M06.012).Rheumatoid arthritis without rheumatoid factor, unspecified shoulder is a billable ICD-10-CM diagnosis code (M06.019).

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