ICD-10 M12.519
Billable / SpecificTraumatic arthropathy, unspecified shoulder
About ICD-10-CM M12.519
ICD-10-CM code M12.519 represents Traumatic arthropathy, unspecified shoulder. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M12). The 2026 edition of ICD-10-CM M12.519 became effective on October 1, 2025.
Medicare LCD Coverage for M12.519
Local Coverage Determinations (LCDs) from CMS MACs that list M12.519 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M12.519.
1 Cigna
CPT Codes Commonly Billed with M12.519
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert M12.519 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M12.519 | 71611 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M12.519
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M12.519, Billing FAQ
Is ICD-10 code M12.519 billable? +
Yes, M12.519 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does M12.519 map to? +
Per CMS GEMs, M12.519 maps to ICD-9 codes: 71611. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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