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M12.011 vs M12.019

M12.011 (Chronic postrheumatic arthropathy [Jaccoud], right shoulder) compared with M12.019 (Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder), from the official CMS tabular data. M12.011 and M12.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M12.011
Right
Chronic postrheumatic arthropathy [Jaccoud], right shoulder
M12.019
Unspecified
Chronic postrheumatic arthropathy [Jaccoud], 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. M12.011 and M12.019 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

M12.011Chronic postrheumatic arthropathy [Jaccoud], right shoulderM12.019Chronic postrheumatic arthropathy [Jaccoud], 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)
DefinitionChronic postrheumatic arthropathy [Jaccoud], right shoulder is a billable ICD-10-CM diagnosis code (M12.011).Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder is a billable ICD-10-CM diagnosis code (M12.019).

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