M05.60

Billable

Rheumatoid arthritis of unspecified site with involvement of other organs and systems

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

Rheumatoid arthritis affecting organs and systems beyond the joints, such as the heart, lungs, or eyes, but the specific joint location is not identified.

Coding Tips

•This code is used when systemic manifestations are present but no specific joint site is documented
•Document the specific organs or systems involved (e.g., rheumatoid lung, rheumatoid heart disease) for complete coding

Clinical Significance

Represents rheumatoid arthritis with involvement of other organs and systems at an unspecified site, indicating severe systemic inflammatory disease with extra-articular manifestations. This diagnosis captures the complexity of RA when it affects organs beyond joints, requiring comprehensive medical management and monitoring.

Documentation Requirements

✓Confirmed rheumatoid arthritis diagnosis with clinical or serological evidence
✓Documentation of extra-articular organ system involvement
✓Evidence of systemic manifestations (cardiac, pulmonary, ocular, etc.)
✓Laboratory markers supporting systemic inflammation
✓Specialist evaluations confirming organ involvement
✓Assessment of functional status and disability level
✓Documentation of immunosuppressive treatment regimen
✓Physician documentation linking RA to organ system involvement

Commonly Confused Codes

M06.9 — Simple rheumatoid arthritis without organ involvement M35.9 — Connective tissue disease without specific RA diagnosis M32.9 — Systemic lupus erythematosus with organ involvement M79.3 — Panniculitis without confirmed rheumatoid connection M05.59 — RA with polyneuropathy at multiple sites

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.6Rheumatoid arthritis with involvement of other organs and systems └M05.60Rheumatoid arthritis of unspecified site with involvement of other organs and systems

└M05.60Rheumatoid arthritis of unspecified site with involvement of other organs and systems