2026 ICD-10-CM Diagnosis Code M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systems
ICD-10-CM Codes›M00–M99›M05-M14›M05
- Billable — Valid for Submission
- Chronic Condition
M05.612 is a billable ICD-10-CM diagnosis code for rheumatoid arthritis of left shoulder with involvement of other organs and systems. 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 Rheumatoid arthritis and related disease.
This medical diagnosis code is frequently used in Orthopedics medical specialties to designate conditions such rheumatoid arthritis.
Code Identity
Code Classification
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 M05.612 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M05.612Overview
Is M05.612 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report rheumatoid arthritis of left shoulder with involvement of other organs and systems on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M05.612 group to?
When rheumatoid arthritis of left shoulder with involvement of other organs and systems 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 M05.612?
Under the General Equivalence Mappings, rheumatoid arthritis of left shoulder with involvement of other organs and systems 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.
