ICD-10 Diagnosis Code M12.421

• 553 - BONE DISEASES AND ARTHROPATHIES WITH MCC
• 554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

• 719.32 - Palindrom rheum-up/arm (Approximate Flag)

A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including

• Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
• Bursitis - inflammation of a fluid-filled sac that cushions the joint
• Dislocations - injuries that force the ends of the bones out of position

Treatment of joint problems depends on the cause. If you have a sports injury, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

• Hypermobile joints (Medical Encyclopedia)
• Joint pain (Medical Encyclopedia)
• Joint swelling (Medical Encyclopedia)
• Joint x-ray (Medical Encyclopedia)
• Limited range of motion (Medical Encyclopedia)
• Steroid injections - tendon, bursa, joint (Medical Encyclopedia)

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.