M05.60 — Rheumatoid arthritis of unspecified site with involvement of other organs and systems
M05.60 is a billable, specific ICD-10-CM code for rheumatoid arthritis of unspecified site with involvement of other organs and systems. It is valid for submission on a claim.
Risk adjustment
M05.60 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.
Medicare coverage
M05.60 is named in 17 Medicare coverage policies — 11 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M05.60 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M05.60.
- Rheumatoid›arthritis›with involvement of organs NEC
Related codes at this level
Codes that share M05.6. If M05.60 is not quite right, the correct code is usually one of these.
- M05.61Rheumatoid arthritis of shoulder with involvement of other organs and systems
- M05.62Rheumatoid arthritis of elbow with involvement of other organs and systems
- M05.63Rheumatoid arthritis of wrist with involvement of other organs and systems
- M05.64Rheumatoid arthritis of hand with involvement of other organs and systems
- M05.65Rheumatoid arthritis of hip with involvement of other organs and systems
- M05.66Rheumatoid arthritis of knee with involvement of other organs and systems
- M05.67Rheumatoid arthritis of ankle and foot with involvement of other organs and systems
- M05.69Rheumatoid arthritis of multiple sites with involvement of other organs and systems
Questions about M05.60
- Is M05.60 a billable ICD-10-CM code?
- Yes. M05.60 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M05.60 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).