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M12.361 vs M12.369

M12.361 (Palindromic rheumatism, right knee) compared with M12.369 (Palindromic rheumatism, unspecified knee), from the official CMS tabular data. M12.361 and M12.369 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M12.361
Right
Palindromic rheumatism, right knee
M12.369
Unspecified
Palindromic rheumatism, unspecified knee

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. M12.361 and M12.369 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

M12.361Palindromic rheumatism, right kneeM12.369Palindromic rheumatism, unspecified knee
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)
DefinitionPalindromic rheumatism, right knee is a billable ICD-10-CM diagnosis code (M12.361).Palindromic rheumatism, unspecified knee is a billable ICD-10-CM diagnosis code (M12.369).

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