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M67.461 vs M67.469

M67.461 (Ganglion, right knee) compared with M67.469 (Ganglion, unspecified knee), from the official CMS tabular data. M67.461 and M67.469 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M67.461
Right
Ganglion, right knee
M67.469
Unspecified
Ganglion, unspecified knee

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. M67.461 and M67.469 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

M67.461Ganglion, right kneeM67.469Ganglion, unspecified knee
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionGanglion, right knee is a billable ICD-10-CM diagnosis code (M67.461).Ganglion, unspecified knee is a billable ICD-10-CM diagnosis code (M67.469).

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