M13.81
M13.81 — Other specified arthritis, shoulder
Non-billable headerICD-10-CM
M13.81 is a non-billable header ICD-10-CM code for other specified arthritis, shoulder. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M13.81 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 M13.81
3 child codes. Green means billable.
Related codes at this level
Codes that share M13.8. If M13.81 is not quite right, the correct code is usually one of these.
- M13.80Other specified arthritis, unspecified site
- M13.82Other specified arthritis, elbow
- M13.83Other specified arthritis, wrist
- M13.84Other specified arthritis, hand
- M13.85Other specified arthritis, hip
- M13.86Other specified arthritis, knee
- M13.87Other specified arthritis, ankle and foot
- M13.88Other specified arthritis, other site
- M13.89Other specified arthritis, multiple sites
Questions about M13.81
- Is M13.81 a billable ICD-10-CM code?
- No. M13.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M13.81 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).