M05.031
BillableFelty's syndrome, right wrist
HCC Category Mapping
V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000What This Code Means
Felty's syndrome affecting the right wrist, characterized by rheumatoid arthritis, enlarged spleen, and low white blood cell count.
Coding Tips
- •Confirm right wrist is the documented site of Felty's syndrome involvement
- •Do not use this code for left wrist or unspecified wrist involvement
Clinical Significance
Felty's syndrome affecting the right wrist combines the debilitating effects of rheumatoid joint destruction with life-threatening hematologic abnormalities including neutropenia and splenomegaly. This condition requires immediate recognition and aggressive management due to the high risk of serious infections and multi-system complications.
Documentation Requirements
- ✓Specific documentation of rheumatoid arthritis affecting the right wrist
- ✓Clinical or imaging evidence of splenomegaly
- ✓Laboratory confirmation of neutropenia with quantitative counts
- ✓Right wrist involvement explicitly documented with laterality
- ✓Assessment of wrist function and inflammatory activity
- ✓Infection screening and immune status evaluation
- ✓Treatment regimen including immunomodulatory therapy
- ✓Monitoring protocols for hematologic and rheumatologic parameters
Commonly Confused Codes
M05.9 — Seropositive rheumatoid arthritis without Felty's syndrome componentsM05.032 — Same condition but affecting left wrist instead of rightM06.9 — Rheumatoid arthritis unspecified without hematologic involvementD70.9 — Neutropenia without the rheumatoid arthritis contextM25.531 — Pain in right wrist without inflammatory or hematologic components
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.0Felty's syndrome└M05.03Felty's syndrome, wrist└M05.031Felty's syndrome, right wrist
└M05.031Felty's syndrome, right wrist