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M13.162 vs M13.169

M13.162 (Monoarthritis, not elsewhere classified, left knee) compared with M13.169 (Monoarthritis, not elsewhere classified, unspecified knee), from the official CMS tabular data. M13.162 and M13.169 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M13.162
Left
Monoarthritis, not elsewhere classified, left knee
M13.169
Unspecified
Monoarthritis, not elsewhere classified, 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. M13.162 and M13.169 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

M13.162Monoarthritis, not elsewhere classified, left kneeM13.169Monoarthritis, not elsewhere classified, 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)
DefinitionMonoarthritis, not elsewhere classified, left knee is a billable ICD-10-CM diagnosis code (M13.162).Monoarthritis, not elsewhere classified, unspecified knee is a billable ICD-10-CM diagnosis code (M13.169).

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