M05.559: Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip
M05.559 is a billable, specific ICD-10-CM code for rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip. It is valid for submission on a claim.
Check M05.559 with the rest of the claim: free scrubberOther codes that can never be billed with M05.559
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
M05.559 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
M05.559 is named in 19 Medicare coverage policies: 9 listing it as supporting medical necessity, and 10 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
- A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A58865Billing 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.