M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip

Billable ICD-10-CM code, FY2026.

Applies from M05 Rheumatoid arthritis with rheumatoid factor

Excludes1 (never code together)

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

Risk adjustment (HCC)

• CMS-HCC V28: HCC 93 — Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders
• CMS-HCC V22: HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
• RxHCC V08: HCC 83 — Rheumatoid Arthritis and Other Inflammatory Polyarthropathy
• ESRD V24: HCC 40

MS-DRG index

Defines the logic of DRG(s) 545-547 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 714.0 Rheumatoid arthritis (approximate)

Code annotations containing back-references to M05.859

Back-references to M05

• Code Also: I27.21 Secondary pulmonary arterial hypertension ("rheumatoid arthritis (M05.-)")
• Type 1 Excludes: R76.81 Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis ("rheumatoid arthritis with rheumatoid factor (M05.-)")

Nearby codes

• M05.842 Other rheumatoid arthritis with rheumatoid factor of left hand
• M05.849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand
• M05.85 Other rheumatoid arthritis with rheumatoid factor of hip
• M05.851 Other rheumatoid arthritis with rheumatoid factor of right hip
• M05.852 Other rheumatoid arthritis with rheumatoid factor of left hip
• M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip (this code)
• M05.86 Other rheumatoid arthritis with rheumatoid factor of knee
• M05.861 Other rheumatoid arthritis with rheumatoid factor of right knee
• M05.862 Other rheumatoid arthritis with rheumatoid factor of left knee
• M05.869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee
• M05.87 Other rheumatoid arthritis with rheumatoid factor of ankle and foot