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M12.369

Billable

Palindromic rheumatism, unspecified knee

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 knee, with symptoms that come and go unpredictably.

Coding Tips

  • •Verify which knee is affected; use 1 for right, 2 for left, or 9 for unspecified
  • •Palindromic rheumatism is a distinct condition from rheumatoid arthritis; ensure proper documentation to support this diagnosis

Code Hierarchy

└M12Other and unspecified arthropathy└M12.3Palindromic rheumatism└M12.36Palindromic rheumatism, knee└M12.369Palindromic rheumatism, unspecified knee
└M12.369Palindromic rheumatism, unspecified knee

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