M05

Rheumatoid arthritis with rheumatoid factor

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M05–M14 Inflammatory polyarthropathies

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

M05 is a non-billable ICD-10-CM code category for rheumatoid arthritis with rheumatoid factor. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are M05.0 Felty's syndrome, M05.1 Rheumatoid lung disease with rheumatoid arthritis, M05.2 Rheumatoid vasculitis with rheumatoid arthritis, M05.3 Rheumatoid heart disease with rheumatoid arthritis and 7 more. Its coding notes include 3 Excludes1 entries and 10 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • rheumatic fever (I00)
  • juvenile rheumatoid arthritis (M08.-)
  • rheumatoid arthritis of spine (M45.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • 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)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

More specific codes under M05 11