M05.631

Billable

Rheumatoid arthritis of right wrist 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 the right wrist 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 right wrist and confirm presence of systemic involvement before assigning this code

Clinical Significance

Indicates rheumatoid arthritis of the right wrist with involvement of other organs and systems, representing severe systemic inflammatory disease with extra-articular complications. This diagnosis reflects complex RA requiring intensive management due to both joint destruction and systemic manifestations affecting multiple organ systems.

Documentation Requirements

✓Confirmed rheumatoid arthritis diagnosis with clinical or serological evidence
✓Specific right wrist joint involvement with inflammatory changes
✓Documentation of extra-articular organ system involvement
✓Evidence of systemic manifestations beyond wrist arthritis
✓Laboratory evidence of active systemic inflammation
✓Specialist consultations confirming multi-organ involvement
✓Assessment of wrist function and grip strength
✓Physician documentation linking RA to systemic disease manifestations

Commonly Confused Codes

M05.632 — Use for left wrist involvement specifically M05.639 — Use when wrist laterality is not specified M19.031 — Osteoarthritis of right wrist without RA M06.831 — Other specified RA of right wrist without organ involvement M25.531 — Pain in right wrist without confirmed arthritis

Code Hierarchy

└M05Rheumatoid arthritis with rheumatoid factor └M05.6Rheumatoid arthritis with involvement of other organs and systems └M05.63Rheumatoid arthritis of wrist with involvement of other organs and systems └M05.631Rheumatoid arthritis of right wrist with involvement of other organs and systems

└M05.631Rheumatoid arthritis of right wrist with involvement of other organs and systems