M05.251

Billable

Rheumatoid vasculitis with rheumatoid arthritis of right hip

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 right hip joint.

Coding Tips

•Verify documentation specifies right hip involvement; do not assume laterality if not documented
•Confirm both rheumatoid vasculitis and rheumatoid arthritis are documented before coding this combination

Clinical Significance

This diagnosis represents severe rheumatoid disease with systemic vasculitic complications affecting the right hip joint, indicating advanced disease with significant functional impact. The condition requires aggressive treatment and comprehensive monitoring due to high morbidity risk and potential for severe disability.

Documentation Requirements

✓Confirmed rheumatoid arthritis with laboratory evidence
✓Documentation of rheumatoid vasculitis through clinical or pathological findings
✓Right hip joint involvement specifically noted
✓Evidence of active systemic inflammation
✓Assessment of hip joint function and structural damage
✓Evaluation of other systemic manifestations
✓Current immunosuppressive therapy documentation
✓Functional mobility and disability assessments

Commonly Confused Codes

M05.252 — Left hip involvement instead of right M05.259 — Unspecified hip when laterality is known M05.261 — Right knee involvement instead of hip M06.851 — Other RA of right hip without vasculitis I77.6 — Arteritis without rheumatoid arthritis component