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M12.38

Billable

Palindromic rheumatism, other specified site

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 joints other than those specified by more specific codes.

Coding Tips

  • •Document the specific anatomical site affected in the medical record for clarity
  • •This is a catch-all code; use only when the affected site does not fit other M12.3x codes

Code Hierarchy

└M12Other and unspecified arthropathy└M12.3Palindromic rheumatism└M12.38Palindromic rheumatism, other specified site
└M12.38Palindromic rheumatism, other specified site

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