2027 ICD-10-CM Diagnosis Code M79.0Rheumatism, unspecified
ICD-10-CM Codes›M00–M99›M70-M79›M79
- Billable — Valid for Submission
- Not Chronic
M79.0 is a billable ICD-10-CM diagnosis code for rheumatism, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 555 through 556. Coders also document this condition as fibroblastic rheumatism. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified connective tissue disease.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Fibroblastic rheumatism
- Hand rheumatism
- Psychosomatic rheumatism
- Rheumatism
- Rheumatism, excluding the back
- Rheumatology disorder monitoring status
- Rheumatology disorder treatment changed
- Rheumatology disorder treatment started
- Rheumatology symptom change
- Secondary autoimmune hemolytic anemia due to rheumatic disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M79.0: its own notes plus those printed at M79 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
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)
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Rheumatic Diseases
disorders of connective tissue, especially the joints and related structures, characterized by inflammation, degeneration, or metabolic derangement.
Patient EducationClinical
Connective Tissue Disorders
Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M79.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M79.0Overview
What is the ICD-10 code for rheumatism, unspecified?
The ICD-10-CM code for rheumatism, unspecified is M79.0 (sometimes written as M790). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is M79.0 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report rheumatism, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does M79.0 group to?
When rheumatism, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 555, 556, with relative weights from 0.8210 to 1.2908 depending on complications. Higher weights mean higher Medicare reimbursement.
Can M79.0 be reported with M79.7?
Not as a rule. The Excludes1 note on M79.0 lists "fibromyalgia (M79.7)". 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 M79.0?
Under the General Equivalence Mappings, rheumatism, unspecified converts to ICD-9-CM 729.0 (rheumatism NOS). The mapping is a direct match.