M12.38
M12.38: Palindromic rheumatism, other specified site
Billable / specific codeICD-10-CM
M12.38 is a billable, specific ICD-10-CM code for palindromic rheumatism, other specified site. It is valid for submission on a claim.
Check M12.38 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Palindromic rheumatism, vertebrae
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M12.38 is named in 10 Medicare coverage policies: 3 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›specified joint NEC
- Rheumatism›palindromic›vertebrae
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M12.3
- 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
- M12.39Palindromic rheumatism, multiple sites