M05.141

Billable

Rheumatoid lung disease with rheumatoid arthritis of right hand

HCC Category Mapping

V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.175

V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.307

ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

What This Code Means

Rheumatoid arthritis affecting the right hand combined with lung disease as a systemic manifestation of rheumatoid arthritis.

Coding Tips

•This code encompasses the entire right hand; document which specific hand structures are involved if applicable
•Ensure pulmonary involvement is documented and linked to the rheumatoid process

Clinical Significance

Indicates advanced rheumatoid arthritis with right hand involvement and concurrent pulmonary manifestations, representing severe systemic disease with extra-articular complications. This condition significantly impacts functional capacity and requires intensive immunosuppressive therapy with pulmonary monitoring.

Documentation Requirements

✓Confirmed rheumatoid arthritis with positive serological testing
✓Documentation of right hand joint involvement with inflammatory changes
✓Evidence of rheumatoid lung disease through appropriate diagnostic studies
✓Specific notation of right-sided hand involvement
✓Clinical correlation between RA and pulmonary findings
✓Assessment of hand function and disease activity
✓Treatment plan addressing both articular and pulmonary manifestations

Commonly Confused Codes

M05.142 — Rheumatoid lung disease with RA of left hand (different laterality)M05.149 — Rheumatoid lung disease with RA of unspecified hand (laterality not documented)M06.041 — Rheumatoid arthritis of right hand without lung involvement M05.131 — Rheumatoid lung disease with RA of right wrist (different anatomical site)M05.151 — Rheumatoid lung disease with RA of right hip (different joint)

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.1Rheumatoid lung disease with rheumatoid arthritis └M05.14Rheumatoid lung disease with rheumatoid arthritis of hand └M05.141Rheumatoid lung disease with rheumatoid arthritis of right hand

└M05.141Rheumatoid lung disease with rheumatoid arthritis of right hand