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M61.511 vs M61.519

M61.511 (Other ossification of muscle, right shoulder) compared with M61.519 (Other ossification of muscle, unspecified shoulder), from the official CMS tabular data. M61.511 and M61.519 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M61.511
Right
Other ossification of muscle, right shoulder
M61.519
Unspecified
Other ossification of muscle, unspecified 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. M61.511 and M61.519 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

M61.511Other ossification of muscle, right shoulderM61.519Other ossification of muscle, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionOther ossification of muscle, right shoulder is a billable ICD-10-CM diagnosis code (M61.511).Other ossification of muscle, unspecified shoulder is a billable ICD-10-CM diagnosis code (M61.519).

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