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M25.811 vs M25.812

M25.811 (Other specified joint disorders, right shoulder) compared with M25.812 (Other specified joint disorders, left shoulder), from the official CMS tabular data. M25.811 and M25.812 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M25.811
Right
Other specified joint disorders, right shoulder
M25.812
Left
Other specified joint disorders, left 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. M25.811 and M25.812 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

M25.811Other specified joint disorders, right shoulderM25.812Other specified joint disorders, left shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionOther specified joint disorders, right shoulder is a billable ICD-10-CM diagnosis code (M25.811).Other specified joint disorders, left shoulder is a billable ICD-10-CM diagnosis code (M25.812).

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