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M85.611 vs M85.612

M85.611 (Other cyst of bone, right shoulder) compared with M85.612 (Other cyst of bone, left shoulder), from the official CMS tabular data. M85.611 and M85.612 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M85.611
Right
Other cyst of bone, right shoulder
M85.612
Left
Other cyst of bone, left 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. M85.611 and M85.612 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

M85.611Other cyst of bone, right shoulderM85.612Other cyst of bone, left 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)
DefinitionOther cyst of bone, right shoulder is a billable ICD-10-CM diagnosis code (M85.611).Other cyst of bone, left shoulder is a billable ICD-10-CM diagnosis code (M85.612).

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