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M23.612 vs M23.619

M23.612 (Other spontaneous disruption of anterior cruciate ligament of left knee) compared with M23.619 (Other spontaneous disruption of anterior cruciate ligament of unspecified knee), from the official CMS tabular data. M23.612 and M23.619 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M23.612
Left
Other spontaneous disruption of anterior cruciate ligament of left knee
M23.619
Unspecified
Other spontaneous disruption of anterior cruciate ligament of 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. M23.612 and M23.619 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

M23.612Other spontaneous disruption of anterior cruciate ligament of left kneeM23.619Other spontaneous disruption of anterior cruciate ligament of 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)
DefinitionOther spontaneous disruption of anterior cruciate ligament of left knee is a billable ICD-10-CM diagnosis code (M23.612).Other spontaneous disruption of anterior cruciate ligament of unspecified knee is a billable ICD-10-CM diagnosis code (M23.619).

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