Rheumatoid arthritis without rheumatoid factor multiple sites icd 10

As of October 1, 2015, the new International Classification of Diseases, Tenth Revision (ICD-10) was implemented as the required diagnosis code set to be used for billing all claims to insurers..

Coding Compliance

CMS and commercial payers require a valid code to be reported for reimbursement, and it is important to follow the ICD-10 guidelines to complete the code set. For example, while M05 is a correct category to identify rheumatoid arthritis with positive rheumatoid factor, ICD-10 coding guidelines indicate that at least five characters are necessary for this to be a valid/billable code. A sample of a valid code for RA with rheumatoid factor is M05.79 – rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement.

Along with choosing a correct ICD-10 code, the documentation in the medical chart must support the level of the ICD-10 code. For instance, if a patient present with a diagnosis for gout the following must be documented:

  • Is it chronic or acute
  • What is the etiology of the disease (i.e. idiopathic, drug induce, lead induced, or due to renal failure)
  • What anatomical site is effected
  • Which side of the body is affected
  • Is it with or without tophi

ICD-10 Resources

Download the top 50 rheumatology ICD-10 codes and rheumatology specific superbill to use as quick guides for coding and billing. (Note: these should not take the place of the official ICD-10 coding manual as there are key guidelines and conventions that may not be included in the crosswalk due to space.)

If there are any questions or concerns about coding ICD-10 or other coding topics, members can contact us at .

Traditional Medicare insurance will not cover 99397, but any Medicare Replacement plans will cover 99397 as long as documentation supports 99397. No modifiers are allowed for the AWV (G0402, G0439, o... [ Read More ]

[QUOTE="ACollison, post: 498033, member: 123219"] Hello I have a provider trying to bill for 99213, G0439 & 99397. I feel like these should bump up against each other ? 99213-25 DX H40.023, M05.79,... [ Read More ]

Hello I have a provider trying to bill for 99213, G0439 & 99397. I feel like these should bump up against each other ? 99213-25 DX H40.023, M05.79, R80.9 & L89.309 G0439-25 DX E11.628 & E11.29 99... [ Read More ]

If you can query the provider, this would be a good first step. As you correctly state, we should never code off the codes the EHR or provider suggests, but rely solely on actual documentation of the ... [ Read More ]

I would like other HCC coders input. A provider documents Rheumatoid Arthritis w/positive rheumatoid factor (M05.9) in the A/P. However in the EHR system the provider puts in the dx of Rheumatoid Ar... [ Read More ]

I need some help, my doctor is asking for me to add a code for the bone graft on this arthrodesis, and my question is, is there a allogenic bone graft code for this? I looked at 20900 but it sounds li... [ Read More ]

I just started coding Rheumatology and I have a dilemma. Some of my providers are putting M05.89 (Other rheumatoid arthritis with rheumatoid factor of multiple site) with D89.9 (Disorder involving th... [ Read More ]

Hello, Looking for some feedback as what to code for provider stating: Dilated cardiomyopathy secondary to Rheumatoid Arthritis: Should it be I42.0 (dialated cardiomyopathy) + M06.9 (Rheumatoid art... [ Read More ]

[QUOTE="mdowd51, post: 394089, member: 35038"]Hi, I have a question that may seem silly but, if a patient has a negative Rheumatoid Factor and a positive Anti- CCP would you use M05.79 Rheumatoid art... [ Read More ]

Hi, I have a question that may seem silly but, if a patient has a negative Rheumatoid Factor and a positive Anti- CCP would you use M05.79 Rheumatoid arthritis with rheumatoid factor of multiple site... [ Read More ]

[QUOTE="thomas7331, post: 506257, member: 5404"] I'd want to see a little more of the record before answering definitively. Can you tell what is the reason for the immunosuppression in this patient? ... [ Read More ]

I'd want to see a little more of the record before answering definitively. Can you tell what is the reason for the immunosuppression in this patient? If that isn't specified in the record, then I th... [ Read More ]

I have a coding scenario I need assistance with. Are you able to code M06.9, Rheumatoid arthritis, unspecified with the code D89.89, Other specified disorders involving the immune mechanism, not elsew... [ Read More ]

I think if the phrase above is the only documentation you have, it should be M06.9. If the documentation addtionally includes "seronegative," you could use M06.09.... [ Read More ]

[B]How would you code the documentation of Rheumatoid arthritis multiple sites? [/B] M06.09 or M06.9?...?... [ Read More ]

Would you code [URL='https://www.aapc.com/codes/icd-10-codes/R79.89']R79.89 [/URL]for a positive CCP test along with M06.09?... [ Read More ]

I just started coding Rheumatology and I have a dilemma. Some of my providers are putting M05.89 (Other rheumatoid arthritis with rheumatoid factor of multiple site) with D89.9 (Disorder involving th... [ Read More ]

Hello, Looking for some feedback as what to code for provider stating: Dilated cardiomyopathy secondary to Rheumatoid Arthritis: Should it be I42.0 (dialated cardiomyopathy) + M06.9 (Rheumatoid art... [ Read More ]

Hello - we are having a discussion at work regarding the codes for polyarthritis (M13.-) versus inflammatory polyarthritis (M06.-). If provider states inflammatory arthritis, what are we looking for ... [ Read More ]

I am trying to find the correct ICD-10 code for Inflammatory Arthritis. In ICD-9 the alphabetic index sent you to 714.9 Inflammatory Polyarthropathy or Polyarthritis. In ICD-10 there is no guidance li... [ Read More ]

What is the ICD

69 for Rheumatoid arthritis of multiple sites with involvement of other organs and systems is a medical classification as listed by WHO under the range - Arthropathies .

What is the ICD

M06. 09 - Rheumatoid arthritis without rheumatoid factor, multiple sites | ICD-10-CM.

Can you have RA without rheumatoid factor?

Types of RA can be differentiated by the presence or absence of an autoantibody or protein produced by the body when it starts attacking the immune system, referred to as the rheumatoid factor (RF). You can have RA without a positive RF result but its presence helps indicate the type of disease present in the body.

What is the ICD

ICD-10 code: M06. 0 Seronegative rheumatoid arthritis.