M05.219

Billable

Rheumatoid vasculitis with rheumatoid arthritis of unspecified 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 alongside rheumatoid arthritis affecting the shoulder joint, but the specific shoulder is not identified.

Coding Tips

•Use this code only when the shoulder side is unspecified; if laterality is documented, use M05.211 (right) or M05.212 (left) instead
•Rheumatoid vasculitis is a systemic manifestation of rheumatoid arthritis affecting blood vessels, so ensure the patient has confirmed RA diagnosis

Clinical Significance

This code captures severe rheumatoid arthritis with vasculitis complications affecting the shoulder when laterality is unspecified, representing advanced systemic disease with serious vascular involvement. The condition requires comprehensive management addressing both joint preservation and life-threatening vascular complications.

Documentation Requirements

✓Confirmed rheumatoid arthritis with appropriate laboratory findings
✓Documentation of shoulder involvement without laterality specification
✓Evidence of rheumatoid-related vasculitis through clinical studies
✓Clear notation that shoulder laterality is unspecified or bilateral
✓Clinical assessment establishing connection between RA and vasculitis
✓Vascular assessment with appropriate diagnostic studies
✓Treatment plan addressing both shoulder disease and vascular complications

Commonly Confused Codes

M05.211 — Rheumatoid vasculitis with RA of right shoulder (specific laterality)M05.212 — Rheumatoid vasculitis with RA of left shoulder (specific laterality)M06.019 — Rheumatoid arthritis of unspecified shoulder without vasculitis M05.119 — Rheumatoid lung disease with RA of unspecified shoulder (different organ system)M05.20 — Rheumatoid vasculitis with RA of unspecified site (joint not specified)

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.2Rheumatoid vasculitis with rheumatoid arthritis └M05.21Rheumatoid vasculitis with rheumatoid arthritis of shoulder └M05.219Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulder

└M05.219Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulder