M12.86

Non-Billable
ChapterM00–M99
Ranksubcategory
Official Description

Other specific arthropathies, not elsewhere classified, knee

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
M12.86Other specific arthropathies, not elsewhere classified, kneeNot billable
M12.861Other specific arthropathies, not elsewhere classified, right kneeBillable
M12.862Other specific arthropathies, not elsewhere classified, left kneeBillable
M12.869Other specific arthropathies, not elsewhere classified, unspecified kneeBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M12.86:

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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