ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M05.469

Billable / Specific CC

Rheumatoid myopathy with rheumatoid arthritis of unspecified knee

M05
Block
0
Synonyms
86
LCDs
9
Payer Policies
6
Linked CPTs

About ICD-10-CM M05.469

ICD-10-CM code M05.469 represents Rheumatoid myopathy with rheumatoid arthritis of unspecified knee. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M05). The 2026 edition of ICD-10-CM M05.469 became effective on October 1, 2025.

Coding Tips for M05.469

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

M05.469 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Medicare Advantage HCC Impact

ESRD-HCC
Category 75

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Rheumatoid myopathy with rheumatoid arthritis of unspecified knee. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for M05.469

Local Coverage Determinations (LCDs) from CMS MACs that list M05.469 as a covered diagnosis.

86 LCDs

Showing top 10 of 86 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27134 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27130 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27487 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27137 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27486 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27138 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27132 →
CMS LCD: Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Article ID: 56796, Effective: 2026-01-01 00:00:00, 1355 covered, 1 non-covered
CPT 27447 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M05.469.

9 policies

1 Cigna

Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Infliximab
Policy ID: ART-56432
Billing and Coding: Biomarkers Overview
Policy ID: ART-56541
Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Policy ID: ART-56796
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657

CPT Codes Commonly Billed with M05.469

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

6 linkages
  • 27134 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27132 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27138 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27137 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27487 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27486 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD

Convert M05.469 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M05.469 3596 10112
M05.469 7140 10111

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M05.469, Billing FAQ

Is ICD-10 code M05.469 billable? +

Yes, M05.469 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is M05.469 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with M05.469? +

Procedures frequently paired with M05.469 include: 27134, 27132, 27138, 27137, 27487.

What ICD-9 codes does M05.469 map to? +

Per CMS GEMs, M05.469 maps to ICD-9 codes: 3596, 7140. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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