M12.58 — Traumatic arthropathy, other specified site

BillableUnspecified

Is M12.58 billable?

Yes, but M12.58 is an unspecified code. M12.58 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M12.58 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 M12.58 — the more specific alternatives are listed below.

More specific alternatives

M12.58 at a glance

Code	M12.58
Description	Traumatic arthropathy, other specified site
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does M12.58 group to?

M12.58 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 M12.58 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M12.58. They show the wording a clinician may have documented, which often differs from the Tabular description.

Arthropathy › traumatic › specified joint NEC
Arthropathy › traumatic › vertebrae

Inclusion terms

Alternative wording in documentation that is classified to M12.58.

Traumatic arthropathy, vertebrae

Excludes1 — never code together — inherited from M12

The conditions below can never be reported together with M12.58 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

arthrosis (M15-M19)
cricoarytenoid arthropathy (J38.7)

Excludes1 — never code together — inherited from M12.5

The conditions below can never be reported together with M12.58 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

current injury-see Alphabetic Index
post-traumatic osteoarthritis of first carpometacarpal joint (M18.2-M18.3)
post-traumatic osteoarthritis of hip (M16.4-M16.5)
post-traumatic osteoarthritis of knee (M17.2-M17.3)
post-traumatic osteoarthritis NOS (M19.1-)
post-traumatic osteoarthritis of other single joints (M19.1-)

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M12.58, but a patient may have both at the same time. When documentation supports it, M12.58 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 M12.58 existed?

M12.58 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.