M05.231
BillableRheumatoid vasculitis with rheumatoid arthritis of right wrist
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
Blood vessel inflammation combined with rheumatoid arthritis specifically affecting the right wrist joint.
Coding Tips
- •The '1' at the end indicates right side; ensure right wrist is clearly documented
- •Wrist involvement in rheumatoid vasculitis is common and often affects function, so document severity if present
Clinical Significance
Represents advanced rheumatoid arthritis with life-threatening vasculitic complications affecting the right wrist. This condition indicates severe systemic inflammation requiring immediate aggressive treatment and comprehensive monitoring for organ involvement and cardiovascular complications.
Documentation Requirements
- ✓Confirmed rheumatoid arthritis diagnosis with laboratory confirmation
- ✓Evidence of vasculitis through clinical, imaging, or pathological findings
- ✓Right wrist joint involvement specifically documented
- ✓Active inflammatory markers (elevated ESR, CRP)
- ✓Documentation of joint deformity, pain, or functional limitation
- ✓Assessment of other organ system involvement
- ✓Current treatment with DMARDs, biologics, or corticosteroids
- ✓Monitoring for treatment complications and disease progression
Commonly Confused Codes
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.2Rheumatoid vasculitis with rheumatoid arthritis└M05.23Rheumatoid vasculitis with rheumatoid arthritis of wrist└M05.231Rheumatoid vasculitis with rheumatoid arthritis of right wrist
└M05.231Rheumatoid vasculitis with rheumatoid arthritis of right wrist