October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

M05 Rheumatoid arthritis with rheumatoid factor

All 211 codes in the M05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

211

Can lead a claim

137

Cannot lead a claim

74

What CMS assigns to M05

137 of the 211 codes group to Musculoskeletal Rehabilitation; 74 are assigned no clinical group. 124 of the 211 count toward the Rheumatoid Arthritis comorbidity subgroup; 87 are assigned none. 137 of the 211 can lead a claim. CMS attaches a code-first note to 1 of the 211.

  • Rheumatoid Arthritis

Code first

CMS grouper convention 114, on M05.A. Code first:

  • rheumatoid arthritis with rheumatoid factor by site, if known (M05.00 to M05.8A)

Every code in M05

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M05.0 Felty's syndrome
M05.00Felty's syndrome, unspecified siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.01 Felty's syndrome, shoulder
M05.011Felty's syndrome, right shoulderCan lead a claimERheumatoid Arthritis
M05.012Felty's syndrome, left shoulderCan lead a claimERheumatoid Arthritis
M05.019Felty's syndrome, unspecified shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.02 Felty's syndrome, elbow
M05.021Felty's syndrome, right elbowCan lead a claimERheumatoid Arthritis
M05.022Felty's syndrome, left elbowCan lead a claimERheumatoid Arthritis
M05.029Felty's syndrome, unspecified elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.03 Felty's syndrome, wrist
M05.031Felty's syndrome, right wristCan lead a claimERheumatoid Arthritis
M05.032Felty's syndrome, left wristCan lead a claimERheumatoid Arthritis
M05.039Felty's syndrome, unspecified wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.04 Felty's syndrome, hand
M05.041Felty's syndrome, right handCan lead a claimERheumatoid Arthritis
M05.042Felty's syndrome, left handCan lead a claimERheumatoid Arthritis
M05.049Felty's syndrome, unspecified handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.05 Felty's syndrome, hip
M05.051Felty's syndrome, right hipCan lead a claimERheumatoid Arthritis
M05.052Felty's syndrome, left hipCan lead a claimERheumatoid Arthritis
M05.059Felty's syndrome, unspecified hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneRheumatoid Arthritis
M05.06 Felty's syndrome, knee
M05.061Felty's syndrome, right kneeCan lead a claimERheumatoid Arthritis
M05.062Felty's syndrome, left kneeCan lead a claimERheumatoid Arthritis
M05.069Felty's syndrome, unspecified kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.07 Felty's syndrome, ankle and foot
M05.071Felty's syndrome, right ankle and footCan lead a claimERheumatoid Arthritis
M05.072Felty's syndrome, left ankle and footCan lead a claimERheumatoid Arthritis
M05.079Felty's syndrome, unspecified ankle and footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.09Felty's syndrome, multiple sitesCan lead a claimERheumatoid Arthritis
M05.1 Rheumatoid lung disease with rheumatoid arthritis
M05.10Rheumatoid lung disease with rheumatoid arthritis of unspecified siteCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.11 Rheumatoid lung disease with rheumatoid arthritis of shoulder
M05.111Rheumatoid lung disease with rheumatoid arthritis of right shoulderCMS: Rheumatoid lung disease w rheumatoid arthritis of r shoulderCan lead a claimENone
M05.112Rheumatoid lung disease with rheumatoid arthritis of left shoulderCMS: Rheumatoid lung disease w rheumatoid arthritis of l shoulderCan lead a claimENone
M05.119Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulderCMS: Rheu lung disease w rheumatoid arthritis of unsp shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.12 Rheumatoid lung disease with rheumatoid arthritis of elbow
M05.121Rheumatoid lung disease with rheumatoid arthritis of right elbowCMS: Rheumatoid lung disease w rheumatoid arthritis of r elbowCan lead a claimENone
M05.122Rheumatoid lung disease with rheumatoid arthritis of left elbowCMS: Rheumatoid lung disease w rheumatoid arthritis of left elbowCan lead a claimENone
M05.129Rheumatoid lung disease with rheumatoid arthritis of unspecified elbowCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.13 Rheumatoid lung disease with rheumatoid arthritis of wrist
M05.131Rheumatoid lung disease with rheumatoid arthritis of right wristCMS: Rheumatoid lung disease w rheumatoid arthritis of r wristCan lead a claimENone
M05.132Rheumatoid lung disease with rheumatoid arthritis of left wristCMS: Rheumatoid lung disease w rheumatoid arthritis of left wristCan lead a claimENone
M05.139Rheumatoid lung disease with rheumatoid arthritis of unspecified wristCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.14 Rheumatoid lung disease with rheumatoid arthritis of hand
M05.141Rheumatoid lung disease with rheumatoid arthritis of right handCMS: Rheumatoid lung disease w rheumatoid arthritis of right handCan lead a claimENone
M05.142Rheumatoid lung disease with rheumatoid arthritis of left handCMS: Rheumatoid lung disease w rheumatoid arthritis of left handCan lead a claimENone
M05.149Rheumatoid lung disease with rheumatoid arthritis of unspecified handCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.15 Rheumatoid lung disease with rheumatoid arthritis of hip
M05.151Rheumatoid lung disease with rheumatoid arthritis of right hipCMS: Rheumatoid lung disease w rheumatoid arthritis of right hipCan lead a claimENone
M05.152Rheumatoid lung disease with rheumatoid arthritis of left hipCMS: Rheumatoid lung disease w rheumatoid arthritis of left hipCan lead a claimENone
M05.159Rheumatoid lung disease with rheumatoid arthritis of unspecified hipCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.16 Rheumatoid lung disease with rheumatoid arthritis of knee
M05.161Rheumatoid lung disease with rheumatoid arthritis of right kneeCMS: Rheumatoid lung disease w rheumatoid arthritis of right kneeCan lead a claimENone
M05.162Rheumatoid lung disease with rheumatoid arthritis of left kneeCMS: Rheumatoid lung disease w rheumatoid arthritis of left kneeCan lead a claimENone
M05.169Rheumatoid lung disease with rheumatoid arthritis of unspecified kneeCMS: Rheumatoid lung disease w rheumatoid arthritis of unsp kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.17 Rheumatoid lung disease with rheumatoid arthritis of ankle and foot
M05.171Rheumatoid lung disease with rheumatoid arthritis of right ankle and footCMS: Rheu lung disease w rheumatoid arthritis of right ank/ftCan lead a claimENone
M05.172Rheumatoid lung disease with rheumatoid arthritis of left ankle and footCMS: Rheu lung disease w rheumatoid arthritis of left ank/ftCan lead a claimENone
M05.179Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and footCMS: Rheu lung disease w rheumatoid arthritis of unsp ank/ftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.19Rheumatoid lung disease with rheumatoid arthritis of multiple sitesCMS: Rheumatoid lung disease w rheumatoid arthritis mult siteCan lead a claimENone
M05.2 Rheumatoid vasculitis with rheumatoid arthritis
M05.20Rheumatoid vasculitis with rheumatoid arthritis of unspecified siteCMS: Rheumatoid vasculitis with rheumatoid arthritis of unsp siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.21 Rheumatoid vasculitis with rheumatoid arthritis of shoulder
M05.211Rheumatoid vasculitis with rheumatoid arthritis of right shoulderCMS: Rheumatoid vasculitis w rheumatoid arthritis of r shoulderCan lead a claimERheumatoid Arthritis
M05.212Rheumatoid vasculitis with rheumatoid arthritis of left shoulderCMS: Rheumatoid vasculitis w rheumatoid arthritis of l shoulderCan lead a claimERheumatoid Arthritis
M05.219Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulderCMS: Rheu vasculitis w rheumatoid arthritis of unsp shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.22 Rheumatoid vasculitis with rheumatoid arthritis of elbow
M05.221Rheumatoid vasculitis with rheumatoid arthritis of right elbowCMS: Rheumatoid vasculitis w rheumatoid arthritis of right elbowCan lead a claimERheumatoid Arthritis
M05.222Rheumatoid vasculitis with rheumatoid arthritis of left elbowCMS: Rheumatoid vasculitis w rheumatoid arthritis of left elbowCan lead a claimERheumatoid Arthritis
M05.229Rheumatoid vasculitis with rheumatoid arthritis of unspecified elbowCMS: Rheumatoid vasculitis w rheumatoid arthritis of unsp elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.23 Rheumatoid vasculitis with rheumatoid arthritis of wrist
M05.231Rheumatoid vasculitis with rheumatoid arthritis of right wristCMS: Rheumatoid vasculitis w rheumatoid arthritis of right wristCan lead a claimERheumatoid Arthritis
M05.232Rheumatoid vasculitis with rheumatoid arthritis of left wristCMS: Rheumatoid vasculitis w rheumatoid arthritis of left wristCan lead a claimERheumatoid Arthritis
M05.239Rheumatoid vasculitis with rheumatoid arthritis of unspecified wristCMS: Rheumatoid vasculitis w rheumatoid arthritis of unsp wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.24 Rheumatoid vasculitis with rheumatoid arthritis of hand
M05.241Rheumatoid vasculitis with rheumatoid arthritis of right handCMS: Rheumatoid vasculitis w rheumatoid arthritis of right handCan lead a claimERheumatoid Arthritis
M05.242Rheumatoid vasculitis with rheumatoid arthritis of left handCan lead a claimERheumatoid Arthritis
M05.249Rheumatoid vasculitis with rheumatoid arthritis of unspecified handCMS: Rheumatoid vasculitis with rheumatoid arthritis of unsp handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.25 Rheumatoid vasculitis with rheumatoid arthritis of hip
M05.251Rheumatoid vasculitis with rheumatoid arthritis of right hipCan lead a claimERheumatoid Arthritis
M05.252Rheumatoid vasculitis with rheumatoid arthritis of left hipCan lead a claimERheumatoid Arthritis
M05.259Rheumatoid vasculitis with rheumatoid arthritis of unspecified hipCMS: Rheumatoid vasculitis with rheumatoid arthritis of unsp hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.26 Rheumatoid vasculitis with rheumatoid arthritis of knee
M05.261Rheumatoid vasculitis with rheumatoid arthritis of right kneeCMS: Rheumatoid vasculitis w rheumatoid arthritis of right kneeCan lead a claimERheumatoid Arthritis
M05.262Rheumatoid vasculitis with rheumatoid arthritis of left kneeCan lead a claimERheumatoid Arthritis
M05.269Rheumatoid vasculitis with rheumatoid arthritis of unspecified kneeCMS: Rheumatoid vasculitis with rheumatoid arthritis of unsp kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.27 Rheumatoid vasculitis with rheumatoid arthritis of ankle and foot
M05.271Rheumatoid vasculitis with rheumatoid arthritis of right ankle and footCMS: Rheumatoid vasculitis w rheumatoid arthritis of right ank/ftCan lead a claimERheumatoid Arthritis
M05.272Rheumatoid vasculitis with rheumatoid arthritis of left ankle and footCMS: Rheumatoid vasculitis w rheumatoid arthritis of left ank/ftCan lead a claimERheumatoid Arthritis
M05.279Rheumatoid vasculitis with rheumatoid arthritis of unspecified ankle and footCMS: Rheumatoid vasculitis w rheumatoid arthritis of unsp ank/ftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.29Rheumatoid vasculitis with rheumatoid arthritis of multiple sitesCMS: Rheumatoid vasculitis w rheumatoid arthritis mult siteCan lead a claimERheumatoid Arthritis
M05.3 Rheumatoid heart disease with rheumatoid arthritis
M05.30Rheumatoid heart disease with rheumatoid arthritis of unspecified siteCMS: Rheumatoid heart disease w rheumatoid arthritis of unsp siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.31 Rheumatoid heart disease with rheumatoid arthritis of shoulder
M05.311Rheumatoid heart disease with rheumatoid arthritis of right shoulderCMS: Rheu heart disease w rheumatoid arthritis of r shoulderCan lead a claimERheumatoid Arthritis
M05.312Rheumatoid heart disease with rheumatoid arthritis of left shoulderCMS: Rheu heart disease w rheumatoid arthritis of l shoulderCan lead a claimERheumatoid Arthritis
M05.319Rheumatoid heart disease with rheumatoid arthritis of unspecified shoulderCMS: Rheu heart disease w rheumatoid arthritis of unsp shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.32 Rheumatoid heart disease with rheumatoid arthritis of elbow
M05.321Rheumatoid heart disease with rheumatoid arthritis of right elbowCMS: Rheumatoid heart disease w rheumatoid arthritis of r elbowCan lead a claimERheumatoid Arthritis
M05.322Rheumatoid heart disease with rheumatoid arthritis of left elbowCMS: Rheumatoid heart disease w rheumatoid arthritis of l elbowCan lead a claimERheumatoid Arthritis
M05.329Rheumatoid heart disease with rheumatoid arthritis of unspecified elbowCMS: Rheu heart disease w rheumatoid arthritis of unsp elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.33 Rheumatoid heart disease with rheumatoid arthritis of wrist
M05.331Rheumatoid heart disease with rheumatoid arthritis of right wristCMS: Rheumatoid heart disease w rheumatoid arthritis of r wristCan lead a claimERheumatoid Arthritis
M05.332Rheumatoid heart disease with rheumatoid arthritis of left wristCMS: Rheumatoid heart disease w rheumatoid arthritis of l wristCan lead a claimERheumatoid Arthritis
M05.339Rheumatoid heart disease with rheumatoid arthritis of unspecified wristCMS: Rheu heart disease w rheumatoid arthritis of unsp wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.34 Rheumatoid heart disease with rheumatoid arthritis of hand
M05.341Rheumatoid heart disease with rheumatoid arthritis of right handCMS: Rheu heart disease w rheumatoid arthritis of right handCan lead a claimERheumatoid Arthritis
M05.342Rheumatoid heart disease with rheumatoid arthritis of left handCMS: Rheumatoid heart disease w rheumatoid arthritis of left handCan lead a claimERheumatoid Arthritis
M05.349Rheumatoid heart disease with rheumatoid arthritis of unspecified handCMS: Rheumatoid heart disease w rheumatoid arthritis of unsp handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.35 Rheumatoid heart disease with rheumatoid arthritis of hip
M05.351Rheumatoid heart disease with rheumatoid arthritis of right hipCMS: Rheumatoid heart disease w rheumatoid arthritis of right hipCan lead a claimERheumatoid Arthritis
M05.352Rheumatoid heart disease with rheumatoid arthritis of left hipCMS: Rheumatoid heart disease w rheumatoid arthritis of left hipCan lead a claimERheumatoid Arthritis
M05.359Rheumatoid heart disease with rheumatoid arthritis of unspecified hipCMS: Rheumatoid heart disease w rheumatoid arthritis of unsp hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.36 Rheumatoid heart disease with rheumatoid arthritis of knee
M05.361Rheumatoid heart disease with rheumatoid arthritis of right kneeCMS: Rheu heart disease w rheumatoid arthritis of right kneeCan lead a claimERheumatoid Arthritis
M05.362Rheumatoid heart disease with rheumatoid arthritis of left kneeCMS: Rheumatoid heart disease w rheumatoid arthritis of left kneeCan lead a claimERheumatoid Arthritis
M05.369Rheumatoid heart disease with rheumatoid arthritis of unspecified kneeCMS: Rheumatoid heart disease w rheumatoid arthritis of unsp kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.37 Rheumatoid heart disease with rheumatoid arthritis of ankle and foot
M05.371Rheumatoid heart disease with rheumatoid arthritis of right ankle and footCMS: Rheu heart disease w rheumatoid arthritis of right ank/ftCan lead a claimERheumatoid Arthritis
M05.372Rheumatoid heart disease with rheumatoid arthritis of left ankle and footCMS: Rheu heart disease w rheumatoid arthritis of left ank/ftCan lead a claimERheumatoid Arthritis
M05.379Rheumatoid heart disease with rheumatoid arthritis of unspecified ankle and footCMS: Rheu heart disease w rheumatoid arthritis of unsp ank/ftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.39Rheumatoid heart disease with rheumatoid arthritis of multiple sitesCMS: Rheumatoid heart disease w rheumatoid arthritis mult siteCan lead a claimERheumatoid Arthritis
M05.4 Rheumatoid myopathy with rheumatoid arthritis
M05.40Rheumatoid myopathy with rheumatoid arthritis of unspecified siteCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp siteCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneRheumatoid Arthritis
M05.41 Rheumatoid myopathy with rheumatoid arthritis of shoulder
M05.411Rheumatoid myopathy with rheumatoid arthritis of right shoulderCMS: Rheumatoid myopathy w rheumatoid arthritis of right shoulderCan lead a claimERheumatoid Arthritis
M05.412Rheumatoid myopathy with rheumatoid arthritis of left shoulderCMS: Rheumatoid myopathy w rheumatoid arthritis of left shoulderCan lead a claimERheumatoid Arthritis
M05.419Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulderCMS: Rheumatoid myopathy w rheumatoid arthritis of unsp shoulderCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.42 Rheumatoid myopathy with rheumatoid arthritis of elbow
M05.421Rheumatoid myopathy with rheumatoid arthritis of right elbowCan lead a claimERheumatoid Arthritis
M05.422Rheumatoid myopathy with rheumatoid arthritis of left elbowCan lead a claimERheumatoid Arthritis
M05.429Rheumatoid myopathy with rheumatoid arthritis of unspecified elbowCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp elbowCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.43 Rheumatoid myopathy with rheumatoid arthritis of wrist
M05.431Rheumatoid myopathy with rheumatoid arthritis of right wristCan lead a claimERheumatoid Arthritis
M05.432Rheumatoid myopathy with rheumatoid arthritis of left wristCan lead a claimERheumatoid Arthritis
M05.439Rheumatoid myopathy with rheumatoid arthritis of unspecified wristCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp wristCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.44 Rheumatoid myopathy with rheumatoid arthritis of hand
M05.441Rheumatoid myopathy with rheumatoid arthritis of right handCan lead a claimERheumatoid Arthritis
M05.442Rheumatoid myopathy with rheumatoid arthritis of left handCan lead a claimERheumatoid Arthritis
M05.449Rheumatoid myopathy with rheumatoid arthritis of unspecified handCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp handCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.45 Rheumatoid myopathy with rheumatoid arthritis of hip
M05.451Rheumatoid myopathy with rheumatoid arthritis of right hipCan lead a claimERheumatoid Arthritis
M05.452Rheumatoid myopathy with rheumatoid arthritis of left hipCan lead a claimERheumatoid Arthritis
M05.459Rheumatoid myopathy with rheumatoid arthritis of unspecified hipCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp hipCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.46 Rheumatoid myopathy with rheumatoid arthritis of knee
M05.461Rheumatoid myopathy with rheumatoid arthritis of right kneeCan lead a claimERheumatoid Arthritis
M05.462Rheumatoid myopathy with rheumatoid arthritis of left kneeCan lead a claimERheumatoid Arthritis
M05.469Rheumatoid myopathy with rheumatoid arthritis of unspecified kneeCMS: Rheumatoid myopathy with rheumatoid arthritis of unsp kneeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.47 Rheumatoid myopathy with rheumatoid arthritis of ankle and foot
M05.471Rheumatoid myopathy with rheumatoid arthritis of right ankle and footCMS: Rheumatoid myopathy w rheumatoid arthritis of right ank/ftCan lead a claimERheumatoid Arthritis
M05.472Rheumatoid myopathy with rheumatoid arthritis of left ankle and footCMS: Rheumatoid myopathy w rheumatoid arthritis of left ank/ftCan lead a claimERheumatoid Arthritis
M05.479Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and footCMS: Rheumatoid myopathy w rheumatoid arthritis of unsp ank/ftCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M05.49Rheumatoid myopathy with rheumatoid arthritis of multiple sitesCMS: Rheumatoid myopathy w rheumatoid arthritis of multiple sitesCan lead a claimERheumatoid Arthritis
M05.5 Rheumatoid polyneuropathy with rheumatoid arthritis
M05.50Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified siteCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneRheumatoid Arthritis
M05.51 Rheumatoid polyneuropathy with rheumatoid arthritis of shoulder
M05.511Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulderCMS: Rheumatoid polyneurop w rheumatoid arthritis of r shoulderCan lead a claimERheumatoid Arthritis
M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulderCMS: Rheumatoid polyneurop w rheumatoid arthritis of l shoulderCan lead a claimERheumatoid Arthritis
M05.519Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulderCMS: Rheu polyneurop w rheumatoid arthritis of unsp shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.52 Rheumatoid polyneuropathy with rheumatoid arthritis of elbow
M05.521Rheumatoid polyneuropathy with rheumatoid arthritis of right elbowCMS: Rheumatoid polyneurop w rheumatoid arthritis of right elbowCan lead a claimERheumatoid Arthritis
M05.522Rheumatoid polyneuropathy with rheumatoid arthritis of left elbowCMS: Rheumatoid polyneurop w rheumatoid arthritis of left elbowCan lead a claimERheumatoid Arthritis
M05.529Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbowCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.53 Rheumatoid polyneuropathy with rheumatoid arthritis of wrist
M05.531Rheumatoid polyneuropathy with rheumatoid arthritis of right wristCMS: Rheumatoid polyneurop w rheumatoid arthritis of right wristCan lead a claimERheumatoid Arthritis
M05.532Rheumatoid polyneuropathy with rheumatoid arthritis of left wristCMS: Rheumatoid polyneurop w rheumatoid arthritis of left wristCan lead a claimERheumatoid Arthritis
M05.539Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wristCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.54 Rheumatoid polyneuropathy with rheumatoid arthritis of hand
M05.541Rheumatoid polyneuropathy with rheumatoid arthritis of right handCMS: Rheumatoid polyneurop w rheumatoid arthritis of right handCan lead a claimERheumatoid Arthritis
M05.542Rheumatoid polyneuropathy with rheumatoid arthritis of left handCMS: Rheumatoid polyneurop w rheumatoid arthritis of left handCan lead a claimERheumatoid Arthritis
M05.549Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified handCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.55 Rheumatoid polyneuropathy with rheumatoid arthritis of hip
M05.551Rheumatoid polyneuropathy with rheumatoid arthritis of right hipCMS: Rheumatoid polyneurop w rheumatoid arthritis of right hipCan lead a claimERheumatoid Arthritis
M05.552Rheumatoid polyneuropathy with rheumatoid arthritis of left hipCMS: Rheumatoid polyneuropathy w rheumatoid arthritis of left hipCan lead a claimERheumatoid Arthritis
M05.559Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hipCMS: Rheumatoid polyneuropathy w rheumatoid arthritis of unsp hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.56 Rheumatoid polyneuropathy with rheumatoid arthritis of knee
M05.561Rheumatoid polyneuropathy with rheumatoid arthritis of right kneeCMS: Rheumatoid polyneurop w rheumatoid arthritis of right kneeCan lead a claimERheumatoid Arthritis
M05.562Rheumatoid polyneuropathy with rheumatoid arthritis of left kneeCMS: Rheumatoid polyneurop w rheumatoid arthritis of left kneeCan lead a claimERheumatoid Arthritis
M05.569Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified kneeCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.57 Rheumatoid polyneuropathy with rheumatoid arthritis of ankle and foot
M05.571Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and footCMS: Rheumatoid polyneurop w rheumatoid arthritis of right ank/ftCan lead a claimERheumatoid Arthritis
M05.572Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and footCMS: Rheumatoid polyneurop w rheumatoid arthritis of left ank/ftCan lead a claimERheumatoid Arthritis
M05.579Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and footCMS: Rheumatoid polyneurop w rheumatoid arthritis of unsp ank/ftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.59Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sitesCMS: Rheumatoid polyneuropathy w rheumatoid arthritis mult siteCan lead a claimERheumatoid Arthritis
M05.6 Rheumatoid arthritis with involvement of other organs and systems
M05.60Rheumatoid arthritis of unspecified site with involvement of other organs and systemsCMS: Rheu arthritis of unsp site w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.61 Rheumatoid arthritis of shoulder with involvement of other organs and systems
M05.611Rheumatoid arthritis of right shoulder with involvement of other organs and systemsCMS: Rheu arthritis of r shoulder w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systemsCMS: Rheu arthritis of l shoulder w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.619Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systemsCMS: Rheu arthrit of unsp shoulder w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.62 Rheumatoid arthritis of elbow with involvement of other organs and systems
M05.621Rheumatoid arthritis of right elbow with involvement of other organs and systemsCMS: Rheu arthritis of r elbow w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.622Rheumatoid arthritis of left elbow with involvement of other organs and systemsCMS: Rheu arthritis of l elbow w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.629Rheumatoid arthritis of unspecified elbow with involvement of other organs and systemsCMS: Rheu arthritis of unsp elbow w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.63 Rheumatoid arthritis of wrist with involvement of other organs and systems
M05.631Rheumatoid arthritis of right wrist with involvement of other organs and systemsCMS: Rheu arthritis of r wrist w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.632Rheumatoid arthritis of left wrist with involvement of other organs and systemsCMS: Rheu arthritis of l wrist w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.639Rheumatoid arthritis of unspecified wrist with involvement of other organs and systemsCMS: Rheu arthritis of unsp wrist w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.64 Rheumatoid arthritis of hand with involvement of other organs and systems
M05.641Rheumatoid arthritis of right hand with involvement of other organs and systemsCMS: Rheu arthritis of right hand w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.642Rheumatoid arthritis of left hand with involvement of other organs and systemsCMS: Rheu arthritis of left hand w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.649Rheumatoid arthritis of unspecified hand with involvement of other organs and systemsCMS: Rheu arthritis of unsp hand w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.65 Rheumatoid arthritis of hip with involvement of other organs and systems
M05.651Rheumatoid arthritis of right hip with involvement of other organs and systemsCMS: Rheu arthritis of right hip w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.652Rheumatoid arthritis of left hip with involvement of other organs and systemsCMS: Rheu arthritis of left hip w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.659Rheumatoid arthritis of unspecified hip with involvement of other organs and systemsCMS: Rheu arthritis of unsp hip w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.66 Rheumatoid arthritis of knee with involvement of other organs and systems
M05.661Rheumatoid arthritis of right knee with involvement of other organs and systemsCMS: Rheu arthritis of right knee w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.662Rheumatoid arthritis of left knee with involvement of other organs and systemsCMS: Rheu arthritis of left knee w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.669Rheumatoid arthritis of unspecified knee with involvement of other organs and systemsCMS: Rheu arthritis of unsp knee w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.67 Rheumatoid arthritis of ankle and foot with involvement of other organs and systems
M05.671Rheumatoid arthritis of right ankle and foot with involvement of other organs and systemsCMS: Rheu arthrit of right ank/ft w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.672Rheumatoid arthritis of left ankle and foot with involvement of other organs and systemsCMS: Rheu arthritis of left ank/ft w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.679Rheumatoid arthritis of unspecified ankle and foot with involvement of other organs and systemsCMS: Rheu arthritis of unsp ank/ft w involv of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.69Rheumatoid arthritis of multiple sites with involvement of other organs and systemsCMS: Rheu arthritis mult site w involv of organs and systemsCan lead a claimERheumatoid Arthritis
M05.7 Rheumatoid arthritis with rheumatoid factor without organ or systems involvement
M05.70Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvementCMS: Rheu arthritis w rheu factor of unsp site w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.71 Rheumatoid arthritis with rheumatoid factor of shoulder without organ or systems involvement
M05.711Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvementCMS: Rheu arthrit w rheu factor of r shoulder w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.712Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvementCMS: Rheu arthrit w rheu factor of l shoulder w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.719Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvementCMS: Rheu arthrit w rheu factor of unsp shldr w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.72 Rheumatoid arthritis with rheumatoid factor of elbow without organ or systems involvement
M05.721Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvementCMS: Rheu arthritis w rheu factor of r elbow w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.722Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvementCMS: Rheu arthritis w rheu factor of l elbow w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.729Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvementCMS: Rheu arthrit w rheu factor of unsp elbow w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.73 Rheumatoid arthritis with rheumatoid factor of wrist without organ or systems involvement
M05.731Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvementCMS: Rheu arthritis w rheu factor of r wrist w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.732Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvementCMS: Rheu arthritis w rheu factor of l wrist w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.739Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvementCMS: Rheu arthrit w rheu factor of unsp wrist w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.74 Rheumatoid arthritis with rheumatoid factor of hand without organ or systems involvement
M05.741Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvementCMS: Rheu arthritis w rheu factor of r hand w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.742Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvementCMS: Rheu arthritis w rheu factor of left hand w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.749Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvementCMS: Rheu arthritis w rheu factor of unsp hand w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.75 Rheumatoid arthritis with rheumatoid factor of hip without organ or systems involvement
M05.751Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvementCMS: Rheu arthritis w rheu factor of right hip w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.752Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvementCMS: Rheu arthritis w rheu factor of left hip w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.759Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvementCMS: Rheu arthritis w rheu factor of unsp hip w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.76 Rheumatoid arthritis with rheumatoid factor of knee without organ or systems involvement
M05.761Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvementCMS: Rheu arthritis w rheu factor of r knee w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.762Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvementCMS: Rheu arthritis w rheu factor of left knee w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.769Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvementCMS: Rheu arthritis w rheu factor of unsp knee w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.77 Rheumatoid arthritis with rheumatoid factor of ankle and foot without organ or systems involvement
M05.771Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvementCMS: Rheu arthrit w rheu fctr of right ank/ft w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.772Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvementCMS: Rheu arthrit w rheu factor of left ank/ft w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.779Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvementCMS: Rheu arthrit w rheu factor of unsp ank/ft w/o org/sys involvCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.79Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvementCMS: Rheu arthritis w rheu factor mult site w/o org/sys involvCan lead a claimERheumatoid Arthritis
M05.7ARheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvementCMS: Rheu arthrit with rheu factor of oth site w/o org/sys invlCan lead a claimENone
M05.8 Other rheumatoid arthritis with rheumatoid factor
M05.80Other rheumatoid arthritis with rheumatoid factor of unspecified siteCMS: Oth rheumatoid arthritis with rheumatoid factor of unsp siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.81 Other rheumatoid arthritis with rheumatoid factor of shoulder
M05.811Other rheumatoid arthritis with rheumatoid factor of right shoulderCMS: Oth rheumatoid arthritis w rheumatoid factor of r shoulderCan lead a claimERheumatoid Arthritis
M05.812Other rheumatoid arthritis with rheumatoid factor of left shoulderCMS: Oth rheumatoid arthritis w rheumatoid factor of l shoulderCan lead a claimERheumatoid Arthritis
M05.819Other rheumatoid arthritis with rheumatoid factor of unspecified shoulderCMS: Oth rheu arthritis w rheumatoid factor of unsp shoulderCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.82 Other rheumatoid arthritis with rheumatoid factor of elbow
M05.821Other rheumatoid arthritis with rheumatoid factor of right elbowCMS: Oth rheumatoid arthritis w rheumatoid factor of right elbowCan lead a claimERheumatoid Arthritis
M05.822Other rheumatoid arthritis with rheumatoid factor of left elbowCMS: Oth rheumatoid arthritis w rheumatoid factor of left elbowCan lead a claimERheumatoid Arthritis
M05.829Other rheumatoid arthritis with rheumatoid factor of unspecified elbowCMS: Oth rheumatoid arthritis w rheumatoid factor of unsp elbowCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.83 Other rheumatoid arthritis with rheumatoid factor of wrist
M05.831Other rheumatoid arthritis with rheumatoid factor of right wristCMS: Oth rheumatoid arthritis w rheumatoid factor of right wristCan lead a claimERheumatoid Arthritis
M05.832Other rheumatoid arthritis with rheumatoid factor of left wristCMS: Oth rheumatoid arthritis w rheumatoid factor of left wristCan lead a claimERheumatoid Arthritis
M05.839Other rheumatoid arthritis with rheumatoid factor of unspecified wristCMS: Oth rheumatoid arthritis w rheumatoid factor of unsp wristCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.84 Other rheumatoid arthritis with rheumatoid factor of hand
M05.841Other rheumatoid arthritis with rheumatoid factor of right handCMS: Oth rheumatoid arthritis w rheumatoid factor of right handCan lead a claimERheumatoid Arthritis
M05.842Other rheumatoid arthritis with rheumatoid factor of left handCMS: Oth rheumatoid arthritis with rheumatoid factor of left handCan lead a claimERheumatoid Arthritis
M05.849Other rheumatoid arthritis with rheumatoid factor of unspecified handCMS: Oth rheumatoid arthritis with rheumatoid factor of unsp handCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.85 Other rheumatoid arthritis with rheumatoid factor of hip
M05.851Other rheumatoid arthritis with rheumatoid factor of right hipCMS: Oth rheumatoid arthritis with rheumatoid factor of right hipCan lead a claimERheumatoid Arthritis
M05.852Other rheumatoid arthritis with rheumatoid factor of left hipCMS: Oth rheumatoid arthritis with rheumatoid factor of left hipCan lead a claimERheumatoid Arthritis
M05.859Other rheumatoid arthritis with rheumatoid factor of unspecified hipCMS: Oth rheumatoid arthritis with rheumatoid factor of unsp hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.86 Other rheumatoid arthritis with rheumatoid factor of knee
M05.861Other rheumatoid arthritis with rheumatoid factor of right kneeCMS: Oth rheumatoid arthritis w rheumatoid factor of right kneeCan lead a claimERheumatoid Arthritis
M05.862Other rheumatoid arthritis with rheumatoid factor of left kneeCMS: Oth rheumatoid arthritis with rheumatoid factor of left kneeCan lead a claimERheumatoid Arthritis
M05.869Other rheumatoid arthritis with rheumatoid factor of unspecified kneeCMS: Oth rheumatoid arthritis with rheumatoid factor of unsp kneeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.87 Other rheumatoid arthritis with rheumatoid factor of ankle and foot
M05.871Other rheumatoid arthritis with rheumatoid factor of right ankle and footCMS: Oth rheumatoid arthritis w rheumatoid factor of right ank/ftCan lead a claimERheumatoid Arthritis
M05.872Other rheumatoid arthritis with rheumatoid factor of left ankle and footCMS: Oth rheumatoid arthritis w rheumatoid factor of left ank/ftCan lead a claimERheumatoid Arthritis
M05.879Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and footCMS: Oth rheumatoid arthritis w rheumatoid factor of unsp ank/ftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M05.89Other rheumatoid arthritis with rheumatoid factor of multiple sitesCMS: Oth rheumatoid arthritis w rheumatoid factor mult siteCan lead a claimERheumatoid Arthritis
M05.8AOther rheumatoid arthritis with rheumatoid factor of other specified siteCMS: Other rheu arthritis with rheumatoid factor of oth siteCan lead a claimENone
M05.9Rheumatoid arthritis with rheumatoid factor, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneRheumatoid Arthritis
M05.AAbnormal rheumatoid factor and anti-citrullinated protein antibody with rheumatoid arthritisCMS: Abn rheu fctr & anti-citrul protein antibody w rheu arthritCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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