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M12.339

Billable

Palindromic rheumatism, unspecified wrist

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

What This Code Means

A type of arthritis causing recurring episodes of joint pain and swelling in the wrist when the specific side (left or right) is not documented or is bilateral.

Coding Tips

  • Use code 9 (unspecified) only when documentation does not clearly indicate left or right wrist involvement
  • Query the provider if laterality can be determined from clinical notes or imaging reports to use a more specific code

Code Hierarchy

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