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M66.312 vs M66.319

M66.312 (Spontaneous rupture of flexor tendons, left shoulder) compared with M66.319 (Spontaneous rupture of flexor tendons, unspecified shoulder), from the official CMS tabular data. M66.312 and M66.319 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M66.312
Left
Spontaneous rupture of flexor tendons, left shoulder
M66.319
Unspecified
Spontaneous rupture of flexor tendons, 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. M66.312 and M66.319 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

M66.312Spontaneous rupture of flexor tendons, left shoulderM66.319Spontaneous rupture of flexor tendons, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionSpontaneous rupture of flexor tendons, left shoulder is a billable ICD-10-CM diagnosis code (M66.312).Spontaneous rupture of flexor tendons, unspecified shoulder is a billable ICD-10-CM diagnosis code (M66.319).
Includes
rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength
rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength

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