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Z96.611 vs Z96.612

Z96.611 (Presence of right artificial shoulder joint) compared with Z96.612 (Presence of left artificial shoulder joint), from the official CMS tabular data. Z96.611 and Z96.612 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

Z96.611
Right
Presence of right artificial shoulder joint
Z96.612
Left
Presence of left artificial shoulder joint

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. Z96.611 and Z96.612 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

Z96.611Presence of right artificial shoulder jointZ96.612Presence of left artificial shoulder joint
Billing statusBillableBillable
ClassificationZ00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionPresence of right artificial shoulder joint is a billable ICD-10-CM diagnosis code (Z96.611).Presence of left artificial shoulder joint is a billable ICD-10-CM diagnosis code (Z96.612).

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