M05.142
BillableRheumatoid lung disease with rheumatoid arthritis of left hand
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 affecting the left hand combined with lung disease as a systemic manifestation of rheumatoid arthritis.
Coding Tips
- •Verify left hand is documented as the affected side; do not default to this code without clear documentation
- •Consider documenting specific hand joints involved (fingers, palm) for clinical clarity
Clinical Significance
Represents severe rheumatoid arthritis affecting the left hand with pulmonary complications, indicating advanced systemic inflammatory disease with extra-articular manifestations. This condition requires aggressive treatment and monitoring due to significant functional impact and respiratory involvement.
Documentation Requirements
- ✓Confirmed rheumatoid arthritis diagnosis with laboratory confirmation
- ✓Documentation of left hand joint involvement with inflammatory findings
- ✓Evidence of rheumatoid-associated lung disease through clinical testing
- ✓Specific documentation of left-sided hand involvement
- ✓Clinical assessment linking lung pathology to rheumatoid etiology
- ✓Functional assessment of hand mobility and grip strength
- ✓Comprehensive treatment plan for systemic disease management
Commonly Confused Codes
M05.141 — Rheumatoid lung disease with RA of right hand (different laterality)M05.149 — Rheumatoid lung disease with RA of unspecified hand (laterality unknown)M06.042 — Rheumatoid arthritis of left hand without lung involvementM05.132 — Rheumatoid lung disease with RA of left wrist (different anatomical location)M05.152 — Rheumatoid lung disease with RA of left 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└M05.142Rheumatoid lung disease with rheumatoid arthritis of left hand
└M05.142Rheumatoid lung disease with rheumatoid arthritis of left hand