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M85.511 vs M85.519

M85.511 (Aneurysmal bone cyst, right shoulder) compared with M85.519 (Aneurysmal bone cyst, unspecified shoulder), from the official CMS tabular data. M85.511 and M85.519 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M85.511
Right
Aneurysmal bone cyst, right shoulder
M85.519
Unspecified
Aneurysmal bone cyst, 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. M85.511 and M85.519 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

M85.511Aneurysmal bone cyst, right shoulderM85.519Aneurysmal bone cyst, unspecified 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)
DefinitionAneurysmal bone cyst, right shoulder is a billable ICD-10-CM diagnosis code (M85.511).Aneurysmal bone cyst, unspecified shoulder is a billable ICD-10-CM diagnosis code (M85.519).

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