M05.312
BillableRheumatoid heart disease with rheumatoid arthritis of left shoulder
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
Rheumatoid arthritis affecting the left shoulder combined with inflammation of the heart tissue caused by rheumatoid disease.
Coding Tips
- •The '312' designation specifically indicates the left shoulder; ensure laterality is clearly documented before assigning this code
- •Confirm that both the cardiac involvement and left shoulder arthritis are documented in the medical record
Clinical Significance
Indicates severe systemic rheumatoid disease with cardiac complications involving the left shoulder joint. This represents advanced inflammatory arthropathy with cardiac involvement requiring intensive multidisciplinary care including cardiology and rheumatology management for both joint preservation and cardiac protection.
Documentation Requirements
- ✓Confirmed rheumatoid arthritis with positive serology
- ✓Clinical or imaging evidence of rheumatoid heart disease
- ✓Left shoulder joint involvement clearly specified
- ✓Evidence of active systemic inflammation
- ✓Cardiac function assessment and ongoing monitoring
- ✓Assessment of shoulder joint damage and functional capacity
- ✓Current immunosuppressive medication regimen
- ✓Regular cardiorheumatology follow-up documentation
Commonly Confused Codes
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.3Rheumatoid heart disease with rheumatoid arthritis└M05.31Rheumatoid heart disease with rheumatoid arthritis of shoulder└M05.312Rheumatoid heart disease with rheumatoid arthritis of left shoulder
└M05.312Rheumatoid heart disease with rheumatoid arthritis of left shoulder