M12.36
M12.36 — Palindromic rheumatism, knee
Non-billable headerICD-10-CM
M12.36 is a non-billable header ICD-10-CM code for palindromic rheumatism, knee. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M12.36 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M12.36
3 child codes. Green means billable.
Related codes at this level
Codes that share M12.3. If M12.36 is not quite right, the correct code is usually one of these.
- 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
- M12.37Palindromic rheumatism, ankle and foot
- M12.38Palindromic rheumatism, other specified site
- M12.39Palindromic rheumatism, multiple sites
Questions about M12.36
- Is M12.36 a billable ICD-10-CM code?
- No. M12.36 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M12.36 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).