M12.81

Non-Billable
ChapterM00–M99
Ranksubcategory
Official Description

Other specific arthropathies, not elsewhere classified, shoulder

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M05-M14Inflammatory polyarthropathies (M05-M14)
M12Other and unspecified arthropathy
M12.8Other specific arthropathies, not elsewhere classified
M12.81Other specific arthropathies, not elsewhere classified, shoulderNot billable
M12.811Other specific arthropathies, not elsewhere classified, right shoulderBillable
M12.812Other specific arthropathies, not elsewhere classified, left shoulderBillable
M12.819Other specific arthropathies, not elsewhere classified, unspecified shoulderBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M12.81:

subcategoryM12.8
Other specific arthropathies, not elsewhere classified
View context instructions
categoryM12
Other and unspecified arthropathy
View context instructions
chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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