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M85.452 vs M85.459

M85.452 (Solitary bone cyst, left pelvis) compared with M85.459 (Solitary bone cyst, unspecified pelvis), from the official CMS tabular data. M85.452 and M85.459 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M85.452
Left
Solitary bone cyst, left pelvis
M85.459
Unspecified
Solitary bone cyst, unspecified pelvis

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. M85.452 and M85.459 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

M85.452Solitary bone cyst, left pelvisM85.459Solitary bone cyst, unspecified pelvis
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionSolitary bone cyst, left pelvis is a billable ICD-10-CM diagnosis code (M85.452).Solitary bone cyst, unspecified pelvis is a billable ICD-10-CM diagnosis code (M85.459).

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