2026 ICD-10-CM Diagnosis Code M07.611Enteropathic arthropathies, right shoulder

ICD-10-CM CodesM00–M99M05-M14M07

ICD-10-CM M07.611
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M07.611 is a billable ICD-10-CM diagnosis code for enteropathic arthropathies, right shoulder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. Coders also document this condition as arthropathy of right shoulder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Immune-mediated/reactive arthropathies.

Code Identity

ICD-10-CM Code
M07.611
Billable Status
Yes — Valid for Submission
Code Describes
Enteropathic arthropathies, right shoulder
Short Description
Enteropathic arthropathies, right shoulder
Same as the full description in the CMS dataset.
Parent Code
Enteropathic arthropathies, shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM05-M14Inflammatory polyarthropathies
CategoryM07Enteropathic arthropathies
This CodeM07.611Enteropathic arthropathies, right shoulder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Arthropathy of right shoulder
  • Bilateral arthritis of glenohumeral joints
  • Enteropathic arthritis of bilateral glenohumeral joints
  • Enteropathic arthritis of glenohumeral joint
  • Enteropathic arthritis of left glenohumeral joint
  • Enteropathic arthritis of right glenohumeral joint

Clinical ClassificationClinical

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

CCSR MUS008
Immune-mediated/reactive arthropathies
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Arthritis

If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis. Any disorder that affects the joints is often called arthritis. Joints are places where two bones meet, such as your elbow or knee.

The full article covers:

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

Read the full article at MedlinePlus

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

Convert M07.611 to ICD-9-CMHistory

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

ICD-9-CM
716.81 Arthropathy NEC-shlder
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
713.1 Arthrop w noninf GI dis
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

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 M07.611Overview

Is M07.611 (Enteropathic arthropathies, shoulder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report enteropathic arthropathies, right shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M07.611 group to?

When enteropathic arthropathies, right shoulder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M07.611?

Under the General Equivalence Mappings, enteropathic arthropathies, right shoulder converts to ICD-9-CM 716.81 (arthropathy NEC-shlder) and 713.1 (arthrop w noninf GI dis). 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.