M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified

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 M05.9

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.-)")

Diagnosis Index entries for M05.9

• Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute) › rheumatoid › seropositive

Nearby codes

• M05.871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot
• M05.872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot
• M05.879 Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot
• M05.89 Other rheumatoid arthritis with rheumatoid factor of multiple sites
• M05.8A Other rheumatoid arthritis with rheumatoid factor of other specified site
• M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified (this code)
• M05.A Abnormal rheumatoid factor and anti-citrullinated protein antibody with rheumatoid arthritis