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M62.011 vs M62.019

M62.011 (Separation of muscle (nontraumatic), right shoulder) compared with M62.019 (Separation of muscle (nontraumatic), unspecified shoulder), from the official CMS tabular data. M62.011 and M62.019 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M62.011
Right
Separation of muscle (nontraumatic), right shoulder
M62.019
Unspecified
Separation of muscle (nontraumatic), 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. M62.011 and M62.019 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

M62.011Separation of muscle (nontraumatic), right shoulderM62.019Separation of muscle (nontraumatic), unspecified shoulder
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)
DefinitionSeparation of muscle (nontraumatic), right shoulder is a billable ICD-10-CM diagnosis code (M62.011).Separation of muscle (nontraumatic), unspecified shoulder is a billable ICD-10-CM diagnosis code (M62.019).

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