2026 ICD-10-CM Diagnosis Code M06.011Rheumatoid arthritis without rheumatoid factor, right shoulder

ICD-10-CM Codes›M00–M99›M05-M14›M06

ICD-10-CM M06.011
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M06.011 is a billable ICD-10-CM diagnosis code for rheumatoid arthritis without rheumatoid factor, 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. Coders also document this condition as left shoulder region seronegative rheumatoid arthritis. 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

ICD-10-CM Code
M06.011
Billable Status
Yes — Valid for Submission
Code Describes
Rheumatoid arthritis without rheumatoid factor, right shoulder
Short Description
Rheumatoid arthritis w/o rheumatoid factor, right shoulder
Parent Code
M06.01
Rheumatoid arthritis without rheumatoid factor, shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM05-M14Inflammatory polyarthropathies
CategoryM06Other rheumatoid arthritis
This CodeM06.011Rheumatoid arthritis without rheumatoid factor, right shoulder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Left shoulder region seronegative rheumatoid arthritis
  • Right shoulder region seronegative rheumatoid arthritis
  • Seronegative rheumatoid arthritis of joint of bilateral shoulder regions
  • Seronegative rheumatoid arthritis of joint of shoulder region

Clinical ClassificationClinical

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

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 M06.011 to ICD-9-CMHistory

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

ICD-9-CM
714.0 Rheumatoid arthritis
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 M06.011Overview

Is M06.011 (Rheumatoid arthritis without rheumatoid factor, shoulder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report rheumatoid arthritis without rheumatoid factor, right shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M06.011 group to?

When rheumatoid arthritis without rheumatoid factor, 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 M06.011?

Under the General Equivalence Mappings, rheumatoid arthritis without rheumatoid factor, right shoulder converts to ICD-9-CM 714.0 (rheumatoid arthritis). 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.