M00.811 — Arthritis due to other bacteria, right shoulder
Is M00.811 billable?
Yes — M00.811 is billable for FY2027. M00.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M00.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M00.811 at a glance
| Code | M00.811 |
|---|---|
| Description | Arthritis due to other bacteria, right shoulder |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M00.811 group to?
M00.811 sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 548Septic Arthritis with MCCmedical
- 549Septic Arthritis with CCmedical
- 550Septic Arthritis without CC/MCCmedical
As a secondary diagnosis, M00.811 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M00.811 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M00.81, the nearest indexed parent of M00.811. Use them to find the family, then select the specific code.
- Arthritis, arthritic › pyogenic or pyemic › bacterial NEC › shoulder (acute) (chronic) (nonpyogenic) (subacute)
Use additional code — inherited from M00.8
Report an additional code alongside M00.811 to fully describe the condition. M00.811 is sequenced first.
- code (B96) to identify bacteria
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M00.811, but a patient may have both at the same time. When documentation supports it, M00.811 and the excluded code may both 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)
Excludes2 — not included here — inherited from M00
The conditions below are not part of M00.811, but a patient may have both at the same time. When documentation supports it, M00.811 and the excluded code may both be reported.
- infection and inflammatory reaction due to internal joint prosthesis (T84.5-)
How long has M00.811 existed?
M00.811 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.