2027 ICD-10-CM Diagnosis Code M07.611Enteropathic arthropathies, right shoulder
ICD-10-CM Codes›M00–M99›M05-M14›M07
- Billable — Valid for Submission
- Chronic Condition
M07.611 is a billable ICD-10-CM diagnosis code for enteropathic arthropathies, right shoulder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Code Classification
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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M07.611: its own notes plus those printed at M07, block M00-M25, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- Disorders affecting predominantly peripheral (limb) joints
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M07.611, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming M07.611: they are not reported together with it, unless the two conditions are unrelated.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Code HistoryHistory
Questions About M07.611Overview
What is the ICD-10 code for enteropathic arthropathies, right shoulder?
The ICD-10-CM code for enteropathic arthropathies, right shoulder is M07.611 (sometimes written as M07611). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
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 554, 553, with relative weights from 0.8328 to 1.2492 depending on complications. Higher weights mean higher Medicare reimbursement.
Can M07.611 be reported with a code from L40.5?
Not as a rule. The Excludes1 note at M07, which applies to M07.611, lists "psoriatic arthropathies (L40.5-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
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.
