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S83.012 vs S83.013

S83.012 (Lateral subluxation of left patella) compared with S83.013 (Lateral subluxation of unspecified patella), from the official CMS tabular data. S83.012 and S83.013 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S83.012
Left
Lateral subluxation of left patella
S83.013
Unspecified
Lateral subluxation of unspecified patella

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. S83.012 and S83.013 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

S83.012Lateral subluxation of left patellaS83.013Lateral subluxation of unspecified patella
Billing statusNon-billable header

Report instead: S83.012A, S83.012D, S83.012S

Non-billable header

Report instead: S83.013A, S83.013D, S83.013S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionLateral subluxation of left patella is a non-billable ICD-10-CM category code (S83.012).Lateral subluxation of unspecified patella is a non-billable ICD-10-CM category code (S83.013).
7th characterThe appropriate 7th character is to be added to each code from category S83The appropriate 7th character is to be added to each code from category S83
Includes
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee

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