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M10.012 vs M10.019

M10.012 (Idiopathic gout, left shoulder) compared with M10.019 (Idiopathic gout, unspecified shoulder), from the official CMS tabular data. M10.012 and M10.019 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M10.012
Left
Idiopathic gout, left shoulder
M10.019
Unspecified
Idiopathic gout, 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. M10.012 and M10.019 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

M10.012Idiopathic gout, left shoulderM10.019Idiopathic gout, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionIdiopathic gout, left shoulder is a billable ICD-10-CM diagnosis code (M10.012).Idiopathic gout, unspecified shoulder is a billable ICD-10-CM diagnosis code (M10.019).
Use additional code
code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)
Calculus of urinary tract in diseases classified elsewhere (N22)
code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)
Calculus of urinary tract in diseases classified elsewhere (N22)

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