Other arthritis
In Inflammatory polyarthropathies (M05-M14), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
47 billable codes under M13: none are a CC or MCC; none map to an HCC.
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Instructional notes
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 M13
M13 can't be used on a claim. Pick a billable code below; grey headings group them.
- M13.0Polyarthritis, unspecified
- M13.1Monoarthritis, not elsewhere classified
- M13.10Monoarthritis, not elsewhere classified, unspecified site
- M13.11Monoarthritis, not elsewhere classified, shoulder
- M13.111Monoarthritis, not elsewhere classified, right shoulder
- M13.112Monoarthritis, not elsewhere classified, left shoulder
- M13.119Monoarthritis, not elsewhere classified, unspecified shoulder
- M13.12Monoarthritis, not elsewhere classified, elbow
- M13.121Monoarthritis, not elsewhere classified, right elbow
- M13.122Monoarthritis, not elsewhere classified, left elbow
- M13.129Monoarthritis, not elsewhere classified, unspecified elbow
- M13.13Monoarthritis, not elsewhere classified, wrist
- M13.131Monoarthritis, not elsewhere classified, right wrist
- M13.132Monoarthritis, not elsewhere classified, left wrist
- M13.139Monoarthritis, not elsewhere classified, unspecified wrist
- M13.14Monoarthritis, not elsewhere classified, hand
- M13.141Monoarthritis, not elsewhere classified, right hand
- M13.142Monoarthritis, not elsewhere classified, left hand
- M13.149Monoarthritis, not elsewhere classified, unspecified hand
- M13.15Monoarthritis, not elsewhere classified, hip
- M13.151Monoarthritis, not elsewhere classified, right hip
- M13.152Monoarthritis, not elsewhere classified, left hip
- M13.159Monoarthritis, not elsewhere classified, unspecified hip
- M13.16Monoarthritis, not elsewhere classified, knee
- M13.161Monoarthritis, not elsewhere classified, right knee
- M13.162Monoarthritis, not elsewhere classified, left knee
- M13.169Monoarthritis, not elsewhere classified, unspecified knee
- M13.17Monoarthritis, not elsewhere classified, ankle and foot
- M13.171Monoarthritis, not elsewhere classified, right ankle and foot
- M13.172Monoarthritis, not elsewhere classified, left ankle and foot
- M13.179Monoarthritis, not elsewhere classified, unspecified ankle and foot
- M13.8Other specified arthritis
- M13.80Other specified arthritis, unspecified site
- M13.81Other specified arthritis, shoulder
- M13.811Other specified arthritis, right shoulder
- M13.812Other specified arthritis, left shoulder
- M13.819Other specified arthritis, unspecified shoulder
- M13.82Other specified arthritis, elbow
- M13.821Other specified arthritis, right elbow
- M13.822Other specified arthritis, left elbow
- M13.829Other specified arthritis, unspecified elbow
- M13.83Other specified arthritis, wrist
- M13.831Other specified arthritis, right wrist
- M13.832Other specified arthritis, left wrist
- M13.839Other specified arthritis, unspecified wrist
- M13.84Other specified arthritis, hand
- M13.841Other specified arthritis, right hand
- M13.842Other specified arthritis, left hand
- M13.849Other specified arthritis, unspecified hand
- M13.85Other specified arthritis, hip
- M13.851Other specified arthritis, right hip
- M13.852Other specified arthritis, left hip
- M13.859Other specified arthritis, unspecified hip
- M13.86Other specified arthritis, knee
- M13.861Other specified arthritis, right knee
- M13.862Other specified arthritis, left knee
- M13.869Other specified arthritis, unspecified knee
- M13.87Other specified arthritis, ankle and foot
- M13.871Other specified arthritis, right ankle and foot
- M13.872Other specified arthritis, left ankle and foot
- M13.879Other specified arthritis, unspecified ankle and foot
- M13.88Other specified arthritis, other site
- M13.89Other specified arthritis, multiple sites
M13 MS-DRGs
As the principal diagnosis, all 47 billable codes under M13 group to MS-DRG 553 or 554 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Arthritis
If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis. Any disorder that affects the joints is often called arthritis. Joints are places where two bones meet, such as your elbow or knee.
Read more about arthritis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
