R76.81
R76.81: Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis
Billable / specific codeICD-10-CM
R76.81 is a billable, specific ICD-10-CM code for abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis. It is valid for submission on a claim.
Check R76.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- rheumatoid arthritis with rheumatoid factor (M05.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Abnormal anti-CCP
- Abnormal anti-cyclic citrullinated protein antibody and rheumatoid factor
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R76.81 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Abnormal, abnormality, abnormalities›anti-CCP(cyclic citrullinated protein)
- Abnormal, abnormality, abnormalities›anti-cyclic citrullinated protein antibody and rheumatoid factor
- Abnormal, abnormality, abnormalities›rheumatoid factor and anti-citrullinated protein antibody›without rheumatoid arthritis
Code history
- addedFY2024-FY2027
Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis