2026 ICD-10-CM Diagnosis Code M05.311Rheumatoid heart disease with rheumatoid arthritis of right shoulder

ICD-10-CM Codes›M00–M99›M05-M14›M05

ICD-10-CM M05.311
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M05.311 is a billable ICD-10-CM diagnosis code for rheumatoid heart disease with rheumatoid arthritis of right shoulder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 545 through 547. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other and ill-defined heart disease and Rheumatoid arthritis and related disease.

Code Identity

ICD-10-CM Code
M05.311
Billable Status
Yes — Valid for Submission
Code Describes
Rheumatoid heart disease with rheumatoid arthritis of right shoulder
Short Description
Rheu heart disease w rheumatoid arthritis of r shoulder
Parent Code
M05.31
Rheumatoid heart disease with rheumatoid arthritis of shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM05-M14Inflammatory polyarthropathies
CategoryM05Rheumatoid arthritis with rheumatoid factor
This CodeM05.311Rheumatoid heart disease with rheumatoid arthritis of right shoulder

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR015
Other and ill-defined heart disease
Default principal diagnosis: inpatient No · outpatient No
CCSR MUS003
Rheumatoid arthritis and related disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, and stiffness in your joints. RA is an autoimmune disease. Although it is most common in the wrist and fingers, this disease can cause your immune system to attack any joint tissue. The inflammation (swelling) that comes with RA can also affect other body parts.

The full article covers:

  • What is rheumatoid arthritis?
  • Who is more likely to get rheumatoid arthritis?
  • What causes rheumatoid arthritis?
  • What are the symptoms of rheumatoid arthritis?
  • How is rheumatoid arthritis diagnosed?
  • What are the treatments for rheumatoid arthritis?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M05.311 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
714.2 Syst rheum arthritis NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M05.311Overview

Is M05.311 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report rheumatoid heart disease with rheumatoid arthritis of right shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M05.311 group to?

When rheumatoid heart disease with rheumatoid arthritis of right shoulder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 545, 546, 547, with relative weights from 0.8362 to 2.4817 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M05.311?

Under the General Equivalence Mappings, rheumatoid heart disease with rheumatoid arthritis of right shoulder converts to ICD-9-CM 714.2 (syst rheum arthritis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.