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M65.811 vs M65.812

M65.811 (Other synovitis and tenosynovitis, right shoulder) compared with M65.812 (Other synovitis and tenosynovitis, left shoulder), from the official CMS tabular data. M65.811 and M65.812 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M65.811
Right
Other synovitis and tenosynovitis, right shoulder
M65.812
Left
Other synovitis and tenosynovitis, 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. M65.811 and M65.812 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

M65.811Other synovitis and tenosynovitis, right shoulderM65.812Other synovitis and tenosynovitis, left 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)
DefinitionOther synovitis and tenosynovitis, right shoulder is a billable ICD-10-CM diagnosis code (M65.811).Other synovitis and tenosynovitis, left shoulder is a billable ICD-10-CM diagnosis code (M65.812).

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