M12.4 — Intermittent hydrarthrosis
Is M12.4 billable?
No — M12.4 is a non-billable header code. M12.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M12.4.
Billable codes under this header
- M12.40Intermittent hydrarthrosis, unspecified site
- M12.48Intermittent hydrarthrosis, other site
- M12.49Intermittent hydrarthrosis, multiple sites
- M12.411Intermittent hydrarthrosis, right shoulder
- M12.412Intermittent hydrarthrosis, left shoulder
- M12.419Intermittent hydrarthrosis, unspecified shoulder
- M12.421Intermittent hydrarthrosis, right elbow
- M12.422Intermittent hydrarthrosis, left elbow
- M12.429Intermittent hydrarthrosis, unspecified elbow
- M12.431Intermittent hydrarthrosis, right wrist
- M12.432Intermittent hydrarthrosis, left wrist
- M12.439Intermittent hydrarthrosis, unspecified wrist
- M12.441Intermittent hydrarthrosis, right hand
- M12.442Intermittent hydrarthrosis, left hand
- M12.449Intermittent hydrarthrosis, unspecified hand
- M12.451Intermittent hydrarthrosis, right hip
- M12.452Intermittent hydrarthrosis, left hip
- M12.459Intermittent hydrarthrosis, unspecified hip
- M12.461Intermittent hydrarthrosis, right knee
- M12.462Intermittent hydrarthrosis, left knee
- M12.469Intermittent hydrarthrosis, unspecified knee
- M12.471Intermittent hydrarthrosis, right ankle and foot
- M12.472Intermittent hydrarthrosis, left ankle and foot
- M12.479Intermittent hydrarthrosis, unspecified ankle and foot
M12.4 at a glance
| Code | M12.4 |
|---|---|
| Description | Intermittent hydrarthrosis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from M12
The conditions below can never be reported together with M12.4 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 M12.4, but a patient may have both at the same time. When documentation supports it, M12.4 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)
What codes fall under M12.4? (10)
- M12.40Intermittent hydrarthrosis, unspecified site
- M12.41Intermittent hydrarthrosis, shouldernot billable
- M12.42Intermittent hydrarthrosis, elbownot billable
- M12.43Intermittent hydrarthrosis, wristnot billable
- M12.44Intermittent hydrarthrosis, handnot billable
- M12.45Intermittent hydrarthrosis, hipnot billable
- M12.46Intermittent hydrarthrosis, kneenot billable
- M12.47Intermittent hydrarthrosis, ankle and footnot billable
- M12.48Intermittent hydrarthrosis, other site
- M12.49Intermittent hydrarthrosis, multiple sites
How long has M12.4 existed?
M12.4 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.
What other codes are in the M12 family? (7)
- M12.0Chronic postrheumatic arthropathy [Jaccoud]not billable
- M12.1Kaschin-Beck diseasenot billable
- M12.2Villonodular synovitis (pigmented)not billable
- M12.3Palindromic rheumatismnot billable
- M12.5Traumatic arthropathynot billable
- M12.8Other specific arthropathies, not elsewhere classifiednot billable
- M12.9Arthropathy, unspecified