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Z97.11 vs Z97.12

Z97.11 (Presence of artificial right arm (complete) (partial)) compared with Z97.12 (Presence of artificial left arm (complete) (partial)), from the official CMS tabular data. Z97.11 and Z97.12 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

Z97.11
Right
Presence of artificial right arm (complete) (partial)
Z97.12
Left
Presence of artificial left arm (complete) (partial)

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. Z97.11 and Z97.12 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

Z97.11Presence of artificial right arm (complete) (partial)Z97.12Presence of artificial left arm (complete) (partial)
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 artificial right arm (complete) (partial) is a billable ICD-10-CM diagnosis code (Z97.11).Presence of artificial left arm (complete) (partial) is a billable ICD-10-CM diagnosis code (Z97.12).

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