M05.111
BillableRheumatoid lung disease with rheumatoid arthritis of right shoulder
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
Rheumatoid arthritis of the right shoulder combined with lung disease caused by the rheumatoid condition.
Coding Tips
- •Requires documentation of both shoulder joint involvement AND rheumatoid lung disease; both conditions must be present
- •Verify laterality is clearly documented as right shoulder in the medical record
Clinical Significance
Rheumatoid lung disease with rheumatoid arthritis of the right shoulder represents a severe extra-articular manifestation combining joint destruction with life-threatening pulmonary complications. This condition requires immediate specialized care from both rheumatology and pulmonology due to the high risk of progressive respiratory failure and systemic complications.
Documentation Requirements
- ✓Specific documentation of rheumatoid arthritis affecting the right shoulder
- ✓Evidence of rheumatoid lung disease through chest imaging or pulmonary function tests
- ✓Pulmonary manifestations such as fibrosis, nodules, or pleural involvement
- ✓Right shoulder laterality clearly documented
- ✓Assessment of respiratory function and shoulder joint mobility
- ✓Exclusion of other causes of pulmonary disease
- ✓Treatment plan addressing both articular and pulmonary components
- ✓Pulmonology and rheumatology care coordination
Commonly Confused Codes
M05112 — Same condition but affecting left shoulder instead of rightM05.011 — Felty's syndrome of right shoulder without lung involvementJ84.9 — Interstitial lung disease without rheumatoid arthritis connectionM05.9 — Seropositive rheumatoid arthritis without lung or specific joint documentationJ94.8 — Pleural effusion without rheumatoid arthritis basis
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.1Rheumatoid lung disease with rheumatoid arthritis└M05.11Rheumatoid lung disease with rheumatoid arthritis of shoulder└M05.111Rheumatoid lung disease with rheumatoid arthritis of right shoulder
└M05.111Rheumatoid lung disease with rheumatoid arthritis of right shoulder