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M12.379

Billable

Palindromic rheumatism, unspecified ankle and foot

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 ankle and foot when the specific side is not documented or affects both sides equally.

Coding Tips

  • Use this code only when laterality cannot be determined from the medical record
  • If both ankles/feet are affected, consider using M12.39 for multiple sites instead

Code Hierarchy

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