M05.39
BillableRheumatoid heart disease with rheumatoid arthritis of multiple sites
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 multiple joints throughout the body combined with inflammation of the heart tissue from rheumatoid disease.
Coding Tips
- •This code indicates polyarticular involvement; document which multiple sites are affected
- •Confirm that rheumatoid heart disease is documented as a complication of the rheumatoid arthritis
Clinical Significance
This diagnosis represents the most severe form of rheumatoid arthritis with both cardiovascular complications and polyarticular involvement affecting multiple joint sites. The combination of rheumatoid heart disease with multiple joint involvement indicates advanced systemic inflammatory disease with high morbidity, requiring aggressive immunosuppression and comprehensive multidisciplinary care including cardiology consultation.
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
- ✓Documentation of inflammatory arthritis involving multiple joint sites simultaneously
- ✓Clinical assessment of polyarticular 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 in multiple joints
- ✓Treatment with combination DMARDs or biologic agents
Commonly Confused Codes
M05.30 — Rheumatoid heart disease with RA of unspecified site (less specific than multiple sites)M06.89 — Other specified rheumatoid arthritis, multiple sites (no cardiac involvement)M79.3 — Panniculitis, unspecified (different inflammatory condition)M32.9 — Systemic lupus erythematosus, unspecified (different connective tissue disease)
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.3Rheumatoid heart disease with rheumatoid arthritis└M05.39Rheumatoid heart disease with rheumatoid arthritis of multiple sites
└M05.39Rheumatoid heart disease with rheumatoid arthritis of multiple sites