M05.212

Billable

Rheumatoid vasculitis with rheumatoid arthritis of left 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 left shoulder.

Coding Tips

•Confirm left shoulder is documented to distinguish from right shoulder involvement
•Document the presence of vasculitis symptoms such as skin manifestations or organ involvement

Clinical Significance

Represents severe rheumatoid arthritis with vasculitis complications affecting the left shoulder, indicating advanced systemic inflammatory disease with serious vascular involvement. This condition carries significant morbidity and mortality risk, requiring intensive immunosuppressive therapy and multidisciplinary management.

Documentation Requirements

✓Confirmed rheumatoid arthritis diagnosis with laboratory support
✓Documentation of left shoulder joint involvement with inflammatory findings
✓Evidence of rheumatoid-associated vasculitis through appropriate testing
✓Specific documentation of left-sided shoulder involvement
✓Clinical correlation between RA and vascular complications
✓Vascular studies confirming vasculitic changes
✓Comprehensive treatment plan for systemic disease with vascular involvement

Commonly Confused Codes

M05.211 — Rheumatoid vasculitis with RA of right shoulder (different laterality)M05.219 — Rheumatoid vasculitis with RA of unspecified shoulder (laterality unknown)M06.012 — Rheumatoid arthritis of left shoulder without vasculitis M05.112 — Rheumatoid lung disease with RA of left shoulder (different organ system)I77.6 — Arteritis, unspecified (not specifically rheumatoid)

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.2Rheumatoid vasculitis with rheumatoid arthritis └M05.21Rheumatoid vasculitis with rheumatoid arthritis of shoulder └M05.212Rheumatoid vasculitis with rheumatoid arthritis of left shoulder

└M05.212Rheumatoid vasculitis with rheumatoid arthritis of left shoulder