M25.412 (Effusion, left shoulder) compared with M25.419 (Effusion, unspecified shoulder), from the official CMS tabular data. M25.412 and M25.419 code the same condition on opposite sides. MedCoder-derived
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)
Same condition, opposite side. M25.412 and M25.419 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.
| M25.412Effusion, left shoulder | M25.419Effusion, unspecified shoulder | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the musculoskeletal system and connective tissue | M00-M99 — Diseases of the musculoskeletal system and connective tissue |
| Definition | Effusion, left shoulder is a billable ICD-10-CM diagnosis code (M25.412). | Effusion, unspecified shoulder is a billable ICD-10-CM diagnosis code (M25.419). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources