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M95.11 vs M95.12

M95.11 (Cauliflower ear, right ear) compared with M95.12 (Cauliflower ear, left ear), from the official CMS tabular data. M95.11 and M95.12 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M95.11
Right
Cauliflower ear, right ear
M95.12
Left
Cauliflower ear, left ear

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. M95.11 and M95.12 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

M95.11Cauliflower ear, right earM95.12Cauliflower ear, left ear
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionCauliflower ear, right ear is a billable ICD-10-CM diagnosis code (M95.11).Cauliflower ear, left ear is a billable ICD-10-CM diagnosis code (M95.12).

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