M05.3 — Rheumatoid heart disease with rheumatoid arthritis

Not billable

Is M05.3 billable?

No — M05.3 is a non-billable header code. M05.3 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 23 billable codes beneath M05.3.

Billable codes under this header

M05.3 at a glance

Code	M05.3
Description	Rheumatoid heart disease with rheumatoid arthritis
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Inclusion terms

Alternative wording in documentation that is classified to M05.3.

Rheumatoid carditis
Rheumatoid endocarditis
Rheumatoid myocarditis
Rheumatoid pericarditis

Excludes1 — never code together — inherited from M05

The conditions below can never be reported together with M05.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

rheumatic fever (I00)
juvenile rheumatoid arthritis (M08.-)
rheumatoid arthritis of spine (M45.-)

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M05.3, but a patient may have both at the same time. When documentation supports it, M05.3 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)

What codes fall under M05.3? (9)

How long has M05.3 existed?

M05.3 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.