M12.39 — Palindromic rheumatism, multiple sites
M12.39 is a billable, specific ICD-10-CM code for palindromic rheumatism, multiple sites. It is valid for submission on a claim.
Risk adjustment
M12.39 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.
Medicare coverage
M12.39 is named in 9 Medicare coverage policies — 3 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M12.39 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M12.39.
- Rheumatism›palindromic›multiple site
Related codes at this level
Codes that share M12.3. If M12.39 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
- M12.36Palindromic rheumatism, knee
- M12.37Palindromic rheumatism, ankle and foot
- M12.38Palindromic rheumatism, other specified site
Questions about M12.39
- Is M12.39 a billable ICD-10-CM code?
- Yes. M12.39 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M12.39 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).