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M08.011 vs M08.012

M08.011 (Unspecified juvenile rheumatoid arthritis, right shoulder) compared with M08.012 (Unspecified juvenile rheumatoid arthritis, left shoulder), from the official CMS tabular data. M08.011 and M08.012 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M08.011
Right
Unspecified juvenile rheumatoid arthritis, right shoulder
M08.012
Left
Unspecified juvenile rheumatoid arthritis, 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. M08.011 and M08.012 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

M08.011Unspecified juvenile rheumatoid arthritis, right shoulderM08.012Unspecified juvenile rheumatoid arthritis, 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)
DefinitionUnspecified juvenile rheumatoid arthritis, right shoulder is a billable ICD-10-CM diagnosis code (M08.011).Unspecified juvenile rheumatoid arthritis, left shoulder is a billable ICD-10-CM diagnosis code (M08.012).

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