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M84.812 vs M84.819

M84.812 (Other disorders of continuity of bone, left shoulder) compared with M84.819 (Other disorders of continuity of bone, unspecified shoulder), from the official CMS tabular data. M84.812 and M84.819 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M84.812
Left
Other disorders of continuity of bone, left shoulder
M84.819
Unspecified
Other disorders of continuity of bone, 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. M84.812 and M84.819 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

M84.812Other disorders of continuity of bone, left shoulderM84.819Other disorders of continuity of bone, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionOther disorders of continuity of bone, left shoulder is a billable ICD-10-CM diagnosis code (M84.812).Other disorders of continuity of bone, unspecified shoulder is a billable ICD-10-CM diagnosis code (M84.819).

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