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M89.712 vs M89.719

M89.712 (Major osseous defect, left shoulder region) compared with M89.719 (Major osseous defect, unspecified shoulder region), from the official CMS tabular data. M89.712 and M89.719 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M89.712
Left
Major osseous defect, left shoulder region
M89.719
Unspecified
Major osseous defect, unspecified shoulder region

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. M89.712 and M89.719 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

M89.712Major osseous defect, left shoulder regionM89.719Major osseous defect, unspecified shoulder region
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionMajor osseous defect, left shoulder region is a billable ICD-10-CM diagnosis code (M89.712).Major osseous defect, unspecified shoulder region is a billable ICD-10-CM diagnosis code (M89.719).
Code first
underlying disease, if known, such as:
aseptic necrosis of bone (M87.-)
underlying disease, if known, such as:
aseptic necrosis of bone (M87.-)

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