M12.30
M12.30: Palindromic rheumatism, unspecified site
Billable / specific codeICD-10-CM
M12.30 is a billable, specific ICD-10-CM code for palindromic rheumatism, unspecified site. It is valid for submission on a claim.
Check M12.30 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M12.30 is named in 7 Medicare coverage policies: 0 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Rheumatism›palindromic(any site)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M12.3
- 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