M05.252

Billable

Rheumatoid vasculitis with rheumatoid arthritis of left 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 left hip joint.

Coding Tips

•Ensure left hip is explicitly documented to differentiate from right hip or unspecified codes
•Review clinical notes for evidence of systemic vasculitis manifestations beyond joint involvement

Clinical Significance

Indicates severe systemic rheumatoid disease with vasculitic complications specifically involving the left hip joint. This represents advanced inflammatory arthropathy with high morbidity risk requiring intensive immunosuppressive therapy and comprehensive care management for both joint preservation and systemic complications.

Documentation Requirements

✓Laboratory-confirmed rheumatoid arthritis diagnosis
✓Clinical or histological evidence of rheumatoid vasculitis
✓Left hip joint involvement clearly documented
✓Active inflammatory process with supporting laboratory values
✓Assessment of hip joint damage and functional capacity
✓Documentation of extra-articular disease manifestations
✓Current treatment with DMARDs or biologic agents
✓Regular monitoring for disease progression and treatment response

Commonly Confused Codes

M05.251 — Right hip when documentation shows left M05.259 — Unspecified hip when laterality is clear M05.262 — Left knee involvement instead of hip M06.852 — Other RA of left hip without vasculitis M79.3 — Panniculitis without rheumatoid arthritis