1. ICD-10-CM Codes
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2. M00-M99 Diseases of the musculoskeletal system and connective tissue
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3. M05-M1A Inflammatory polyarthropathies
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4. M05- Rheumatoid arthritis with rheumatoid factor
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2018/2019 ICD-10-CM Diagnosis Code M05.31

Rheumatoid heart disease with rheumatoid arthritis of shoulder

2016 2017 2018 2019 Non-Billable/Non-Specific Code

• M05.31 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• Short description: Rheumatoid heart disease w rheumatoid arthritis of shoulder
• The 2018/2019 edition of ICD-10-CM M05.31 became effective on October 1, 2018.
• This is the American ICD-10-CM version of M05.31 - other international versions of ICD-10 M05.31 may differ.

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Type 1 Excludes: I09.9
  , I32
  , I39
  , I41
  , I52
  ICD-10-CM Diagnosis Code I09.9

  Rheumatic heart disease, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Rheumatic carditis

  Type 1 Excludes

  • rheumatoid carditis (M05.31)
  ICD-10-CM Diagnosis Code I32

  Pericarditis in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease

  Type 1 Excludes

  • pericarditis (in):
  • coxsackie (virus) (B33.23)
  • gonococcal (A54.83)
  • meningococcal (A39.53)
  • rheumatoid (arthritis) (M05.31)
  • syphilitic (A52.06)
  • systemic lupus erythematosus (M32.12)
  • tuberculosis (A18.84)
  ICD-10-CM Diagnosis Code I39

  Endocarditis and heart valve disorders in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • Q fever (A78)

  Type 1 Excludes

  • endocardial involvement in:
  • candidiasis (B37.6)
  • gonococcal infection (A54.83)
  • Libman-Sacks disease (M32.11)
  • listerosis (A32.82)
  • meningococcal infection (A39.51)
  • rheumatoid arthritis (M05.31)
  • syphilis (A52.03)
  • tuberculosis (A18.84)
  • typhoid fever (A01.02)
  ICD-10-CM Diagnosis Code I41

  Myocarditis in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • typhus (A75.0-A75.9)

  Type 1 Excludes

  • myocarditis (in):
  • Chagas' disease (chronic) (B57.2)
  • acute (B57.0)
  • coxsackie (virus) infection (B33.22)
  • diphtheritic (A36.81)
  • gonococcal (A54.83)
  • influenzal (J09.X9, J10.82, J11.82)
  • meningococcal (A39.52)
  • mumps (B26.82)
  • rheumatoid arthritis (M05.31)
  • sarcoid (D86.85)
  • syphilis (A52.06)
  • toxoplasmosis (B58.81)
  • tuberculous (A18.84)
  ICD-10-CM Diagnosis Code I52

  Other heart disorders in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • congenital syphilis (A50.5)
  • mucopolysaccharidosis (E76.3)
  • schistosomiasis (B65.0-B65.9)

  Type 1 Excludes

  • heart disease (in):
  • gonococcal infection (A54.83)
  • meningococcal infection (A39.50)
  • rheumatoid arthritis (M05.31)
  • syphilis (A52.06)

• Rheumatoid - see also condition
  • carditis M05.30
    ICD-10-CM Diagnosis Code M05.30

    Rheumatoid heart disease with rheumatoid arthritis of unspecified site

    2016 2017 2018 2019 Billable/Specific Code
    • shoulder M05.31-

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.