M05.211

Billable

Rheumatoid vasculitis with rheumatoid arthritis of right shoulder

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

A condition where blood vessel inflammation occurs as a complication of rheumatoid arthritis affecting the right shoulder.

Coding Tips

•Ensure documentation specifies right shoulder involvement and confirms vasculitis diagnosis
•Vasculitis in rheumatoid arthritis is a serious systemic manifestation requiring careful documentation

Clinical Significance

This diagnosis indicates severe rheumatoid arthritis with vasculitis complications specifically affecting the right shoulder, representing advanced systemic disease with serious vascular involvement. Rheumatoid vasculitis significantly increases mortality risk and requires aggressive immunosuppressive therapy with careful monitoring for systemic complications.

Documentation Requirements

✓Confirmed rheumatoid arthritis with positive serological markers
✓Documentation of right shoulder joint involvement with inflammatory changes
✓Evidence of vasculitis related to rheumatoid arthritis through clinical studies
✓Specific notation of right-sided shoulder involvement
✓Clinical assessment establishing rheumatoid etiology for vasculitis
✓Vascular assessment with appropriate imaging or biopsy findings
✓Treatment plan addressing both joint disease and vascular complications

Commonly Confused Codes

M05.212 — Rheumatoid vasculitis with RA of left shoulder (different laterality)M05.219 — Rheumatoid vasculitis with RA of unspecified shoulder (laterality not documented)M06.011 — Rheumatoid arthritis of right shoulder without vasculitis M05.111 — Rheumatoid lung disease with RA of right shoulder (different organ system)M31.9 — Necrotizing vasculopathy, unspecified (not rheumatoid-related)

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.2Rheumatoid vasculitis with rheumatoid arthritis └M05.21Rheumatoid vasculitis with rheumatoid arthritis of shoulder └M05.211Rheumatoid vasculitis with rheumatoid arthritis of right shoulder

└M05.211Rheumatoid vasculitis with rheumatoid arthritis of right shoulder