M12.58
M12.58: Traumatic arthropathy, other specified site
Billable / specific codeICD-10-CM
M12.58 is a billable, specific ICD-10-CM code for traumatic arthropathy, other specified site. It is valid for submission on a claim.
Check M12.58 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Traumatic arthropathy, vertebrae
Excludes1 inherited from the categories above M12.58
A category’s note binds every code beneath it.
Written on M12.5: Traumatic arthropathy
- 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-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M12.58 is named in 11 Medicare coverage policies: 4 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
- Arthropathy›traumatic›specified joint NEC
- Arthropathy›traumatic›vertebrae
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M12.5
- 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
- M12.56Traumatic arthropathy, knee
- M12.57Traumatic arthropathy, ankle and foot
- M12.59Traumatic arthropathy, multiple sites