M05.612
BillableRheumatoid arthritis of left shoulder with involvement of other organs and systems
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 with systemic complications involving other organs such as the heart, lungs, or blood vessels.
Coding Tips
- •This code indicates seropositive rheumatoid arthritis with extra-articular manifestations; document which organs are involved for complete clinical picture
- •Verify laterality is documented as left shoulder and confirm presence of systemic involvement before assigning this code
Clinical Significance
Represents rheumatoid arthritis of the left shoulder with involvement of other organs and systems, indicating severe systemic inflammatory disease with extra-articular complications. This diagnosis captures complex RA requiring comprehensive management due to both articular destruction and systemic manifestations.
Documentation Requirements
- ✓Confirmed rheumatoid arthritis diagnosis with appropriate evidence
- ✓Specific left shoulder joint involvement documented
- ✓Evidence of extra-articular organ system involvement
- ✓Documentation of systemic complications beyond joints
- ✓Laboratory markers supporting active systemic inflammation
- ✓Multi-disciplinary evaluations confirming organ involvement
- ✓Functional assessment of shoulder mobility and overall status
- ✓Physician documentation establishing RA-systemic disease connection
Commonly Confused Codes
M05.611 — Use for right shoulder involvement specificallyM05.619 — Use when shoulder laterality is not documentedM19.012 — Primary osteoarthritis of left shoulder without RAM06.812 — Other specified RA of left shoulder without organ involvementM75.32 — Calcific tendinitis of left shoulder without RA
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.6Rheumatoid arthritis with involvement of other organs and systems└M05.61Rheumatoid arthritis of shoulder with involvement of other organs and systems└M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systems
└M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systems