M12.59

M12.59: Traumatic arthropathy, multiple sites

Billable / specific codeICD-10-CM

M12.59 is a billable, specific ICD-10-CM code for traumatic arthropathy, multiple sites. It is valid for submission on a claim.

Check M12.59 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M12.59

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-)

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.

Medicare coverage

M12.59 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

M12.59: Traumatic arthropathy, multiple sites

Excludes1 inherited from the categories above M12.59

Risk adjustment

Medicare coverage

Alphabetic index entries that lead here

Code history

Other codes under M12.5