M07 — Enteropathic arthropathies
M07 is a non-billable header ICD-10-CM code for enteropathic arthropathies. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- psoriatic arthropathies (L40.5-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Other codes that can never be billed with M07
These codes carry an Excludes1 note pointing at M07. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M07 alone.
Risk adjustment
M07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M07
1 child code. Green means billable.
Questions about M07
- Is M07 a billable ICD-10-CM code?
- No. M07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M07 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).
- What cannot be coded together with M07?
- M07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.