M05.239
BillableRheumatoid vasculitis with rheumatoid arthritis of unspecified 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 affecting the wrist, but the specific wrist side is not identified.
Coding Tips
- •This is a less specific code; query the provider for laterality documentation when possible
- •Use only when bilateral wrist involvement exists or when side cannot be determined from documentation
Clinical Significance
Indicates severe rheumatoid disease with systemic vasculitic complications involving the wrist joint, though specific laterality is not documented. This represents a high-risk condition requiring aggressive treatment and monitoring for both articular and extra-articular manifestations.
Documentation Requirements
- ✓Established rheumatoid arthritis diagnosis with confirmatory serology
- ✓Documentation of rheumatoid vasculitis through clinical or histologic evidence
- ✓Wrist joint involvement noted without specific laterality
- ✓Active disease markers including inflammatory indices
- ✓Assessment of joint function and structural damage
- ✓Evaluation for other systemic complications
- ✓Treatment documentation including immunosuppressive agents
- ✓Regular disease activity monitoring
Commonly Confused Codes
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.2Rheumatoid vasculitis with rheumatoid arthritis└M05.23Rheumatoid vasculitis with rheumatoid arthritis of wrist└M05.239Rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist
└M05.239Rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist