M05.039
M05.039: Felty's syndrome, unspecified wrist
Billable / specific codeICD-10-CMunspecified
M05.039 is a billable, specific ICD-10-CM code for felty's syndrome, unspecified wrist. It is valid for submission on a claim.
Check M05.039 with the rest of the claim: free scrubberOther codes that can never be billed with M05.039
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R76.81Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis
Risk adjustment
M05.039 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
M05.039 is named in 15 Medicare coverage policies: 8 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
Unchanged in every release from FY2024 to FY2027.