M12.08 — Chronic postrheumatic arthropathy [Jaccoud], other specified site
Is M12.08 billable?
Yes, but M12.08 is an unspecified code. M12.08 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M12.08 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M12.08 — the more specific alternatives are listed below.
More specific alternatives
- M12.01Chronic postrheumatic arthropathy [Jaccoud], shouldernot billable
- M12.02Chronic postrheumatic arthropathy [Jaccoud], elbownot billable
- M12.03Chronic postrheumatic arthropathy [Jaccoud], wristnot billable
- M12.04Chronic postrheumatic arthropathy [Jaccoud], handnot billable
- M12.05Chronic postrheumatic arthropathy [Jaccoud], hipnot billable
- M12.06Chronic postrheumatic arthropathy [Jaccoud], kneenot billable
- M12.07Chronic postrheumatic arthropathy [Jaccoud], ankle and footnot billable
- M12.09Chronic postrheumatic arthropathy [Jaccoud], multiple sites
M12.08 at a glance
| Code | M12.08 |
|---|---|
| Description | Chronic postrheumatic arthropathy [Jaccoud], other specified site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M12.08 group to?
M12.08 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 553Bone Diseases and Arthropathies with MCCmedical
- 554Bone Diseases and Arthropathies without MCCmedical
How is M12.08 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M12.08. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Arthropathy › postrheumatic, chronic › specified joint NEC
- Arthropathy › postrheumatic, chronic › vertebrae
Inclusion terms
Alternative wording in documentation that is classified to M12.08.
- Chronic postrheumatic arthropathy [Jaccoud], vertebrae
Excludes1 — never code together — inherited from M12
The conditions below can never be reported together with M12.08 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M12.08, but a patient may have both at the same time. When documentation supports it, M12.08 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has M12.08 existed?
M12.08 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to M12.08?
What other codes are in the M12.0 family? (9)
- M12.00Chronic postrheumatic arthropathy [Jaccoud], unspecified site
- M12.01Chronic postrheumatic arthropathy [Jaccoud], shouldernot billable
- M12.02Chronic postrheumatic arthropathy [Jaccoud], elbownot billable
- M12.03Chronic postrheumatic arthropathy [Jaccoud], wristnot billable
- M12.04Chronic postrheumatic arthropathy [Jaccoud], handnot billable
- M12.05Chronic postrheumatic arthropathy [Jaccoud], hipnot billable
- M12.06Chronic postrheumatic arthropathy [Jaccoud], kneenot billable
- M12.07Chronic postrheumatic arthropathy [Jaccoud], ankle and footnot billable
- M12.09Chronic postrheumatic arthropathy [Jaccoud], multiple sites