M12 Other and unspecified arthropathy

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Other and unspecified arthropathy is M12 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
M05-M14: Inflammatory polyarthropathies (M05-M14)
Category M12
226 codes (169 billable)
FY2026 Status
Stable since FY2024
Excludes1
Not coded here. These conditions should NOT be coded together with M12.
  • arthrosis (M15-M19)
  • cricoarytenoid arthropathy (J38.7)

Official Coding Guidelines

Osteoporosis without pathological fracture (M81)

Category M81, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past. For patients with a history of osteoporosis fractures, status code Z87.310, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.1
Osteoporosis with current pathological fracture (M80)

Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

M12.0 Chronic postrheumatic arthropathy [Jaccoud] M12.00 Chronic postrheumatic arthropathy [Jaccoud], unspecified site M12.01 Chronic postrheumatic arthropathy [Jaccoud], shoulder M12.011 Chronic postrheumatic arthropathy [Jaccoud], right shoulder M12.012 Chronic postrheumatic arthropathy [Jaccoud], left shoulder M12.019 Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder M12.02 Chronic postrheumatic arthropathy [Jaccoud], elbow M12.021 Chronic postrheumatic arthropathy [Jaccoud], right elbow M12.022 Chronic postrheumatic arthropathy [Jaccoud], left elbow M12.029 Chronic postrheumatic arthropathy [Jaccoud], unspecified elbow M12.03 Chronic postrheumatic arthropathy [Jaccoud], wrist M12.031 Chronic postrheumatic arthropathy [Jaccoud], right wrist M12.032 Chronic postrheumatic arthropathy [Jaccoud], left wrist M12.039 Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist M12.04 Chronic postrheumatic arthropathy [Jaccoud], hand M12.041 Chronic postrheumatic arthropathy [Jaccoud], right hand M12.042 Chronic postrheumatic arthropathy [Jaccoud], left hand M12.049 Chronic postrheumatic arthropathy [Jaccoud], unspecified hand M12.05 Chronic postrheumatic arthropathy [Jaccoud], hip M12.051 Chronic postrheumatic arthropathy [Jaccoud], right hip M12.052 Chronic postrheumatic arthropathy [Jaccoud], left hip M12.059 Chronic postrheumatic arthropathy [Jaccoud], unspecified hip M12.06 Chronic postrheumatic arthropathy [Jaccoud], knee M12.061 Chronic postrheumatic arthropathy [Jaccoud], right knee M12.062 Chronic postrheumatic arthropathy [Jaccoud], left knee M12.069 Chronic postrheumatic arthropathy [Jaccoud], unspecified knee M12.07 Chronic postrheumatic arthropathy [Jaccoud], ankle and foot M12.071 Chronic postrheumatic arthropathy [Jaccoud], right ankle and foot M12.072 Chronic postrheumatic arthropathy [Jaccoud], left ankle and foot M12.079 Chronic postrheumatic arthropathy [Jaccoud], unspecified ankle and foot

Related Codes in M12

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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