M12.5

M12.5: Traumatic arthropathy

Non-billable headerICD-10-CM

M12.5 is a non-billable header ICD-10-CM code for traumatic arthropathy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

current injury-see Alphabetic Index
post-traumatic osteoarthritis of first carpometacarpal joint (M18.2-M18.3)
post-traumatic osteoarthritis of hip (M16.4-M16.5)
post-traumatic osteoarthritis of knee (M17.2-M17.3)
post-traumatic osteoarthritis NOS (M19.1-)
post-traumatic osteoarthritis of other single joints (M19.1-)

Excludes1 inherited from the categories above M12.5

A category’s note binds every code beneath it.

Written on M12: Other and unspecified arthropathy

arthrosis (M15-M19)
cricoarytenoid arthropathy (J38.7)

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 M12.5

10 child codes. Green means billable.