CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M05.60 Quick jump to specific ICD-10 (CM) Code: M05.612


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Rheu arthritis of shoulder w involv of organs and systems

ICD-10 (CM) Code and Descriptor

M05.611 Rheumatoid arthritis of right shoulder with involvement of other organs and systems

M05611 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 17
ICD10
Position 18
24.05% 8.86% 18.99% 17.72% 13.92% 10.13% 1.27% 2.53% 1.27% 1.27%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M05.611*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 28 43
97112
NEUROMUSCULAR REEDUCATION 12 14
36415
COLL VENOUS BLD VENIPUNCTURE 10 10
85025
COMPLETE CBC W/AUTO DIFF WBC 10 10
80053
COMPREHEN METABOLIC PANEL 8 8
97150
GROUP THERAPEUTIC PROCEDURES 8 8
97116
GAIT TRAINING THERAPY 7 8
86140
C-REACTIVE PROTEIN 7 7
85652
RBC SED RATE AUTOMATED 4 4
97010
HOT OR COLD PACKS THERAPY 4 4
J3370
VANCOMYCIN HCL INJECTION 4 8
97535
SELF CARE MNGMENT TRAINING 3 10
86431
RHEUMATOID FACTOR QUANT 3 3
J2704
INJ, PROPOFOL, 10 MG 3 39
80061
LIPID PANEL 3 3
85027
COMPLETE CBC AUTOMATED 3 3
97165
OT EVAL LOW COMPLEX 30 MIN 2 2
76942
ECHO GUIDE FOR BIOPSY 2 2
80048
METABOLIC PANEL TOTAL CA 2 2
82306
VITAMIN D 25 HYDROXY 2 2

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M05.611 related to the following DRG Codes:

545-547






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.