M05.3

M05.3: Rheumatoid heart disease with rheumatoid arthritis

Non-billable headerICD-10-CM

M05.3 is a non-billable header ICD-10-CM code for rheumatoid heart disease with rheumatoid arthritis. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Rheumatoid carditis
Rheumatoid endocarditis
Rheumatoid myocarditis
Rheumatoid pericarditis

Excludes1 inherited from the categories above M05.3

A category’s note binds every code beneath it.

Written on M05: Rheumatoid arthritis with rheumatoid factor

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

Other codes that can never be billed with M05.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

G73.7Myopathy in diseases classified elsewhere
I09.9Rheumatic heart disease, unspecified
I32Pericarditis in diseases classified elsewhere
I39Endocarditis and heart valve disorders in diseases classified elsewhere
I41Myocarditis in diseases classified elsewhere
I52Other heart disorders in diseases classified elsewhere
R76.81Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M05.3

9 child codes. Green means billable.