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M12.311

Billable

Palindromic rheumatism, right shoulder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A type of arthritis that causes sudden, temporary joint pain and swelling that comes and goes, specifically affecting the right shoulder.

Coding Tips

  • •Ensure documentation clearly specifies right shoulder involvement
  • •This code is site-specific; use M12.312 for left shoulder or M12.319 if side is unspecified

Code Hierarchy

└M12Other and unspecified arthropathy└M12.3Palindromic rheumatism└M12.31Palindromic rheumatism, shoulder└M12.311Palindromic rheumatism, right shoulder
└M12.311Palindromic rheumatism, right shoulder

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