Other rheumatoid arthritis
In Inflammatory polyarthropathies (M05-M14), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
101 billable codes under M06: none are a CC or MCC; all map to HCC 93 (Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders), HCC 94 (Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders).An HCC counts toward a Medicare Advantage patient's risk score.
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.
- Site and laterality (page 60)
- Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
- Coding of Pathologic Fractures (page 61)
- Osteoporosis (page 61)
- Multisystem Inflammatory Syndrome (page 62)
All codes under M06
M06 can't be used on a claim. Pick a billable code below; grey headings group them.
- M06.0Rheumatoid arthritis without rheumatoid factor
- M06.00Rheumatoid arthritis without rheumatoid factor, unspecified site
- M06.01Rheumatoid arthritis without rheumatoid factor, shoulder
- M06.011Rheumatoid arthritis without rheumatoid factor, right shoulder
- M06.012Rheumatoid arthritis without rheumatoid factor, left shoulder
- M06.019Rheumatoid arthritis without rheumatoid factor, unspecified shoulder
- M06.02Rheumatoid arthritis without rheumatoid factor, elbow
- M06.021Rheumatoid arthritis without rheumatoid factor, right elbow
- M06.022Rheumatoid arthritis without rheumatoid factor, left elbow
- M06.029Rheumatoid arthritis without rheumatoid factor, unspecified elbow
- M06.03Rheumatoid arthritis without rheumatoid factor, wrist
- M06.031Rheumatoid arthritis without rheumatoid factor, right wrist
- M06.032Rheumatoid arthritis without rheumatoid factor, left wrist
- M06.039Rheumatoid arthritis without rheumatoid factor, unspecified wrist
- M06.04Rheumatoid arthritis without rheumatoid factor, hand
- M06.041Rheumatoid arthritis without rheumatoid factor, right hand
- M06.042Rheumatoid arthritis without rheumatoid factor, left hand
- M06.049Rheumatoid arthritis without rheumatoid factor, unspecified hand
- M06.05Rheumatoid arthritis without rheumatoid factor, hip
- M06.051Rheumatoid arthritis without rheumatoid factor, right hip
- M06.052Rheumatoid arthritis without rheumatoid factor, left hip
- M06.059Rheumatoid arthritis without rheumatoid factor, unspecified hip
- M06.06Rheumatoid arthritis without rheumatoid factor, knee
- M06.061Rheumatoid arthritis without rheumatoid factor, right knee
- M06.062Rheumatoid arthritis without rheumatoid factor, left knee
- M06.069Rheumatoid arthritis without rheumatoid factor, unspecified knee
- M06.07Rheumatoid arthritis without rheumatoid factor, ankle and foot
- M06.071Rheumatoid arthritis without rheumatoid factor, right ankle and foot
- M06.072Rheumatoid arthritis without rheumatoid factor, left ankle and foot
- M06.079Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot
- M06.08Rheumatoid arthritis without rheumatoid factor, vertebrae
- M06.09Rheumatoid arthritis without rheumatoid factor, multiple sites
- M06.0ARheumatoid arthritis without rheumatoid factor, other specified site
- M06.1Adult-onset Still's disease
- M06.2Rheumatoid bursitis
- M06.20Rheumatoid bursitis, unspecified site
- M06.21Rheumatoid bursitis, shoulder
- M06.211Rheumatoid bursitis, right shoulder
- M06.212Rheumatoid bursitis, left shoulder
- M06.219Rheumatoid bursitis, unspecified shoulder
- M06.22Rheumatoid bursitis, elbow
- M06.221Rheumatoid bursitis, right elbow
- M06.222Rheumatoid bursitis, left elbow
- M06.229Rheumatoid bursitis, unspecified elbow
- M06.23Rheumatoid bursitis, wrist
- M06.231Rheumatoid bursitis, right wrist
- M06.232Rheumatoid bursitis, left wrist
- M06.239Rheumatoid bursitis, unspecified wrist
- M06.24Rheumatoid bursitis, hand
- M06.241Rheumatoid bursitis, right hand
- M06.242Rheumatoid bursitis, left hand
- M06.249Rheumatoid bursitis, unspecified hand
- M06.25Rheumatoid bursitis, hip
- M06.251Rheumatoid bursitis, right hip
- M06.252Rheumatoid bursitis, left hip
- M06.259Rheumatoid bursitis, unspecified hip
- M06.26Rheumatoid bursitis, knee
- M06.261Rheumatoid bursitis, right knee
- M06.262Rheumatoid bursitis, left knee
- M06.269Rheumatoid bursitis, unspecified knee
- M06.27Rheumatoid bursitis, ankle and foot
- M06.271Rheumatoid bursitis, right ankle and foot
- M06.272Rheumatoid bursitis, left ankle and foot
- M06.279Rheumatoid bursitis, unspecified ankle and foot
- M06.28Rheumatoid bursitis, vertebrae
- M06.29Rheumatoid bursitis, multiple sites
- M06.3Rheumatoid nodule
- M06.30Rheumatoid nodule, unspecified site
- M06.31Rheumatoid nodule, shoulder
- M06.311Rheumatoid nodule, right shoulder
- M06.312Rheumatoid nodule, left shoulder
- M06.319Rheumatoid nodule, unspecified shoulder
- M06.32Rheumatoid nodule, elbow
- M06.321Rheumatoid nodule, right elbow
- M06.322Rheumatoid nodule, left elbow
- M06.329Rheumatoid nodule, unspecified elbow
- M06.33Rheumatoid nodule, wrist
- M06.331Rheumatoid nodule, right wrist
- M06.332Rheumatoid nodule, left wrist
- M06.339Rheumatoid nodule, unspecified wrist
- M06.34Rheumatoid nodule, hand
- M06.341Rheumatoid nodule, right hand
- M06.342Rheumatoid nodule, left hand
- M06.349Rheumatoid nodule, unspecified hand
- M06.35Rheumatoid nodule, hip
- M06.351Rheumatoid nodule, right hip
- M06.352Rheumatoid nodule, left hip
- M06.359Rheumatoid nodule, unspecified hip
- M06.36Rheumatoid nodule, knee
- M06.361Rheumatoid nodule, right knee
- M06.362Rheumatoid nodule, left knee
- M06.369Rheumatoid nodule, unspecified knee
- M06.37Rheumatoid nodule, ankle and foot
- M06.371Rheumatoid nodule, right ankle and foot
- M06.372Rheumatoid nodule, left ankle and foot
- M06.379Rheumatoid nodule, unspecified ankle and foot
- M06.38Rheumatoid nodule, vertebrae
- M06.39Rheumatoid nodule, multiple sites
- M06.4Inflammatory polyarthropathy
- M06.8Other specified rheumatoid arthritis
- M06.80Other specified rheumatoid arthritis, unspecified site
- M06.81Other specified rheumatoid arthritis, shoulder
- M06.811Other specified rheumatoid arthritis, right shoulder
- M06.812Other specified rheumatoid arthritis, left shoulder
- M06.819Other specified rheumatoid arthritis, unspecified shoulder
- M06.82Other specified rheumatoid arthritis, elbow
- M06.821Other specified rheumatoid arthritis, right elbow
- M06.822Other specified rheumatoid arthritis, left elbow
- M06.829Other specified rheumatoid arthritis, unspecified elbow
- M06.83Other specified rheumatoid arthritis, wrist
- M06.831Other specified rheumatoid arthritis, right wrist
- M06.832Other specified rheumatoid arthritis, left wrist
- M06.839Other specified rheumatoid arthritis, unspecified wrist
- M06.84Other specified rheumatoid arthritis, hand
- M06.841Other specified rheumatoid arthritis, right hand
- M06.842Other specified rheumatoid arthritis, left hand
- M06.849Other specified rheumatoid arthritis, unspecified hand
- M06.85Other specified rheumatoid arthritis, hip
- M06.851Other specified rheumatoid arthritis, right hip
- M06.852Other specified rheumatoid arthritis, left hip
- M06.859Other specified rheumatoid arthritis, unspecified hip
- M06.86Other specified rheumatoid arthritis, knee
- M06.861Other specified rheumatoid arthritis, right knee
- M06.862Other specified rheumatoid arthritis, left knee
- M06.869Other specified rheumatoid arthritis, unspecified knee
- M06.87Other specified rheumatoid arthritis, ankle and foot
- M06.871Other specified rheumatoid arthritis, right ankle and foot
- M06.872Other specified rheumatoid arthritis, left ankle and foot
- M06.879Other specified rheumatoid arthritis, unspecified ankle and foot
- M06.88Other specified rheumatoid arthritis, vertebrae
- M06.89Other specified rheumatoid arthritis, multiple sites
- M06.8AOther specified rheumatoid arthritis, other specified site
- M06.9Rheumatoid arthritis, unspecified
M06 MS-DRGs
As the principal diagnosis, the billable codes under M06 group to MS-DRG 545, 546, 547, 553, or 554 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 545 Connective Tissue Disorders with MCC (100 of 101 codes)
- DRG 546 Connective Tissue Disorders with CC (100 of 101 codes)
- DRG 547 Connective Tissue Disorders without CC/MCC (100 of 101 codes)
- DRG 553 Bone Diseases and Arthropathies with MCC (1 of 101 codes)
- DRG 554 Bone Diseases and Arthropathies without MCC (1 of 101 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Rheumatoid Arthritis
Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, and stiffness in your joints. RA is an autoimmune disease. Although it is most common in the wrist and fingers, this disease can cause your immune system to attack any joint tissue. The inflammation (swelling) that comes with RA can also affect other body parts. Inflammation could cause medical issues in your eyes, skin, heart, nerves, blood, or lungs.
Read more about rheumatoid arthritis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
