M12.56
M12.56 — Traumatic arthropathy, knee
Non-billable headerICD-10-CM
M12.56 is a non-billable header ICD-10-CM code for traumatic arthropathy, knee. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M12.56 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 M12.56
3 child codes. Green means billable.
Related codes at this level
Codes that share M12.5. If M12.56 is not quite right, the correct code is usually one of these.
- M12.50Traumatic arthropathy, unspecified site
- M12.51Traumatic arthropathy, shoulder
- M12.52Traumatic arthropathy, elbow
- M12.53Traumatic arthropathy, wrist
- M12.54Traumatic arthropathy, hand
- M12.55Traumatic arthropathy, hip
- M12.57Traumatic arthropathy, ankle and foot
- M12.58Traumatic arthropathy, other specified site
- M12.59Traumatic arthropathy, multiple sites
Questions about M12.56
- Is M12.56 a billable ICD-10-CM code?
- No. M12.56 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M12.56 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).