M12.3
M12.3: Palindromic rheumatism
Non-billable headerICD-10-CM
M12.3 is a non-billable header ICD-10-CM code for palindromic rheumatism. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with M12.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M12.3
10 child codes. Green means billable.
- M12.30Palindromic rheumatism, unspecified site
- M12.31Palindromic rheumatism, shoulder
- M12.32Palindromic rheumatism, elbow
- M12.33Palindromic rheumatism, wrist
- M12.34Palindromic rheumatism, hand
- M12.35Palindromic rheumatism, hip
- M12.36Palindromic rheumatism, knee
- M12.37Palindromic rheumatism, ankle and foot
- M12.38Palindromic rheumatism, other specified site
- M12.39Palindromic rheumatism, multiple sites