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M12.411 vs M12.419

M12.411 (Intermittent hydrarthrosis, right shoulder) compared with M12.419 (Intermittent hydrarthrosis, unspecified shoulder), from the official CMS tabular data. M12.411 and M12.419 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M12.411
Right
Intermittent hydrarthrosis, right shoulder
M12.419
Unspecified
Intermittent hydrarthrosis, 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. M12.411 and M12.419 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

M12.411Intermittent hydrarthrosis, right shoulderM12.419Intermittent hydrarthrosis, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionIntermittent hydrarthrosis, right shoulder is a billable ICD-10-CM diagnosis code (M12.411).Intermittent hydrarthrosis, unspecified shoulder is a billable ICD-10-CM diagnosis code (M12.419).

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