M05.512

Billable

Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder

HCC Category Mapping

V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.175

What This Code Means

Nerve damage affecting multiple nerves caused by rheumatoid arthritis of the left shoulder.

Coding Tips

•Ensure LEFT shoulder is specifically documented; right shoulder would use M05.511
•Document should indicate both the shoulder arthritis and the polyneuropathy manifestation

Clinical Significance

This diagnosis represents rheumatoid arthritis of the left shoulder with concurrent polyneuropathy, indicating advanced systemic inflammatory disease with neurological complications. The shoulder involvement affects upper extremity function while polyneuropathy adds complexity requiring multidisciplinary neurological and rheumatological management.

Documentation Requirements

✓Established rheumatoid arthritis diagnosis with supporting evidence
✓Clear documentation of left shoulder joint involvement
✓Evidence of polyneuropathy affecting multiple peripheral nerves
✓Neurological examination findings demonstrating nerve dysfunction
✓Assessment of left shoulder function and mobility
✓Clinical studies supporting inflammatory shoulder arthritis
✓Comprehensive treatment approach for both conditions

Commonly Confused Codes

M05.511 — Rheumatoid polyneuropathy with RA of right shoulder (different laterality)M05.519 — Rheumatoid polyneuropathy with RA of unspecified shoulder (when side unknown)M06.812 — Other specified rheumatoid arthritis, left shoulder (without polyneuropathy)G62.81 — Critical illness polyneuropathy (different etiology)M25.512 — Pain in left shoulder (symptom code only)

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.5Rheumatoid polyneuropathy with rheumatoid arthritis └M05.51Rheumatoid polyneuropathy with rheumatoid arthritis of shoulder └M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder

└M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder