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M12.352

Billable

Palindromic rheumatism, left hip

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 recurring episodes of joint pain and swelling in the left hip that typically resolve completely between flare-ups.

Coding Tips

  • Document whether symptoms are truly in the hip joint versus referred pain from the lumbar spine or sacroiliac joint
  • The fifth character '2' indicates left side; confirm laterality is accurately documented in the medical record

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