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M14.65 vs M36.4

M14.65 (Charcôt's joint, hip) compared with M36.4 (Arthropathy in hypersensitivity reactions classified elsewhere), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

M14.65
Charcôt's joint, hip
M36.4
Arthropathy in hypersensitivity reactions classified elsewhere

Not coded here — these two are mutually exclusive.

“hypersensitivity reactions (M36.4)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Informational

Excludes2 relationship

M36.4
Arthropathy in hypersensitivity reactions classified elsewhere
M14.65
Charcôt's joint, hip

Distinct conditions — both may be reported.

“arthropathies in diseases classified elsewhere (M14.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

No — do not report together. M14.65 carries an Excludes1 note covering M36.4: “hypersensitivity reactions (M36.4)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Yes, when both are documented. M36.4 carries an Excludes2 note covering M14.65: “arthropathies in diseases classified elsewhere (M14.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

M14.65Charcôt's joint, hipM36.4Arthropathy in hypersensitivity reactions classified elsewhere
Billing statusNon-billable headerBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionCharcôt's joint, hip is a non-billable ICD-10-CM category code (M14.65).Arthropathy in hypersensitivity reactions classified elsewhere is a billable ICD-10-CM diagnosis code (M36.4).
Includes
autoimmune disease NOS
collagen (vascular) disease NOS
systemic autoimmune disease
systemic collagen (vascular) disease
Code first
underlying disease, such as:
Henoch (-Schönlein) purpura (D69.0)

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