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M12.349

Billable

Palindromic rheumatism, unspecified hand

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 hand when the specific side (left or right) is not documented or is bilateral.

Coding Tips

  • •Use code 9 (unspecified) only when laterality cannot be determined from available documentation
  • •Attempt to clarify with the provider whether the condition is unilateral or bilateral to assign the most specific code

Code Hierarchy

└M12Other and unspecified arthropathy└M12.3Palindromic rheumatism└M12.34Palindromic rheumatism, hand└M12.349Palindromic rheumatism, unspecified hand
└M12.349Palindromic rheumatism, unspecified hand

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