M12
Header — not billableOther and unspecified arthropathy
The ICD-10 code for other and unspecified arthropathy is M12.
M12 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 8 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M12
- M12.0Chronic postrheumatic arthropathy [Jaccoud]non-billable header
- M12.1Kaschin-Beck diseasenon-billable header
- M12.2Villonodular synovitis (pigmented)non-billable header
- M12.3Palindromic rheumatismnon-billable header
- M12.4Intermittent hydrarthrosisnon-billable header
- M12.5Traumatic arthropathynon-billable header
- M12.8Other specific arthropathies, not elsewhere classifiednon-billable header
- M12.9Arthropathy, unspecified
Related codes in this category
- M05Rheumatoid arthritis with rheumatoid factornon-billable header
- M06Other rheumatoid arthritisnon-billable header
- M07Enteropathic arthropathiesnon-billable header
- M08Juvenile arthritisnon-billable header
- M10Goutnon-billable header
- M11Other crystal arthropathiesnon-billable header
- M13Other arthritisnon-billable header
- M14Arthropathies in other diseases classified elsewherenon-billable header
- M1AChronic goutnon-billable header
- M12Other and unspecified arthropathynon-billable header