M60.812 — Other myositis, left shoulder
Is M60.812 billable?
Yes — M60.812 is billable for FY2027. M60.812 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M60.812 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M60.812 at a glance
| Code | M60.812 |
|---|---|
| Description | Other myositis, left shoulder |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M60.812 group to?
M60.812 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.
- 555Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCCmedical
- 556Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCCmedical
How is M60.812 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M60.81, the nearest indexed parent of M60.812. Use them to find the family, then select the specific code.
- Myositis › specified type NEC › shoulder region
Excludes1 — never code together — inherited from M60-M63
The conditions below can never be reported together with M60.812 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 M60.812, but a patient may have both at the same time. When documentation supports it, M60.812 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)
Excludes2 — not included here — inherited from M60-M63
The conditions below are not part of M60.812, but a patient may have both at the same time. When documentation supports it, M60.812 and the excluded code may both be reported.
- muscular dystrophies and myopathies (G71-G72)
Excludes2 — not included here — inherited from M60
The conditions below are not part of M60.812, but a patient may have both at the same time. When documentation supports it, M60.812 and the excluded code may both be reported.
- inclusion body myositis [IBM] (G72.41)
How long has M60.812 existed?
M60.812 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.