M05.372
BillableRheumatoid heart disease with rheumatoid arthritis of left ankle and foot
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
A condition where rheumatoid arthritis affects the left ankle and foot, and also causes inflammation of the heart tissue (rheumatoid heart disease).
Coding Tips
- •This code requires documentation of both the rheumatoid arthritis location (left ankle/foot) and the presence of rheumatoid heart disease
- •Verify that the heart involvement is specifically documented as rheumatoid heart disease, not just general cardiac involvement
Clinical Significance
This diagnosis represents a complex systemic manifestation of rheumatoid arthritis affecting both the cardiovascular system and left ankle/foot complex. The combination of rheumatoid heart disease with lower extremity involvement indicates advanced inflammatory disease with significant impact on weight-bearing function and cardiovascular health, requiring comprehensive management including cardiac monitoring and aggressive disease-modifying therapy.
Documentation Requirements
- ✓Confirmed diagnosis of rheumatoid arthritis with positive serology (RF or anti-CCP)
- ✓Evidence of cardiac involvement such as pericarditis, myocarditis, or valvular disease
- ✓Specific documentation of left ankle and/or foot joint involvement with inflammatory changes
- ✓Clinical assessment of ankle/foot pain, swelling, and functional limitations
- ✓Echocardiogram or other cardiac imaging showing rheumatoid heart disease
- ✓Laboratory evidence of systemic inflammation (elevated ESR, CRP)
- ✓Documentation of chronicity and ongoing disease activity
- ✓Treatment with DMARDs or biologic agents
Commonly Confused Codes
M05.371 — Same condition but affecting right ankle and foot instead of leftM05.379 — Same condition but ankle/foot laterality unspecifiedM19.072 — Primary osteoarthritis of left ankle and foot (different etiology, no cardiac involvement)M06.9 — Rheumatoid arthritis, unspecified (no heart involvement documented)
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.3Rheumatoid heart disease with rheumatoid arthritis└M05.37Rheumatoid heart disease with rheumatoid arthritis of ankle and foot└M05.372Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot
└M05.372Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot