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Compare/I39 vs M05.31

I39 vs M05.31

I39 (Endocarditis and heart valve disorders in diseases classified elsewhere) compared with M05.31 (Rheumatoid heart disease with rheumatoid arthritis of shoulder), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I39 carries an Excludes1 note covering M05.31: “rheumatoid arthritis (M05.31)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I39Endocarditis and heart valve disorders in diseases classified elsewhereM05.31Rheumatoid heart disease with rheumatoid arthritis of shoulder
Billing statusBillableNon-billable header

Report instead: M05.311, M05.312, M05.319

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionEndocarditis and heart valve disorders in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (I39).Rheumatoid heart disease with rheumatoid arthritis of shoulder is a non-billable ICD-10-CM category code (M05.31).
Code first
underlying disease, such as:
Q fever (A78)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources