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M26.641 vs M26.642

M26.641 (Arthritis of right temporomandibular joint) compared with M26.642 (Arthritis of left temporomandibular joint), from the official CMS tabular data. M26.641 and M26.642 code the same condition on opposite sides. MedCoder-derived

Can these codes be reported together?

Review

Laterality relationship

M26.641
Right
Arthritis of right temporomandibular joint
M26.642
Left
Arthritis of left temporomandibular joint

What we found

Same condition, opposite side.M26.641 and M26.642 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.

What to review

Report the side the documentation names. Where the code set provides a bilateral code and both sides are documented, use it instead of the pair.

Guide: Laterality codingCheck these on a claim

Why it matters

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 / rule

ICD-10-CM tabular list (laterality variant derived from the code title)

Side by side

M26.641Arthritis of right temporomandibular jointM26.642Arthritis of left temporomandibular joint
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)
DefinitionArthritis of right temporomandibular joint is a billable ICD-10-CM diagnosis code (M26.641).Arthritis of left temporomandibular joint is a billable ICD-10-CM diagnosis code (M26.642).
Excludes1
hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (M27.8)
hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (M27.8)
Excludes2
current temporomandibular joint dislocation (S03.0)
current temporomandibular joint sprain (S03.4)
current temporomandibular joint dislocation (S03.0)
current temporomandibular joint sprain (S03.4)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources