M05.632

Billable

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

Clinical Significance

Represents rheumatoid arthritis of the left wrist 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 wrist joint destruction and systemic organ involvement.

Documentation Requirements

✓Confirmed rheumatoid arthritis diagnosis with appropriate diagnostic criteria
✓Specific left wrist joint involvement documented
✓Evidence of extra-articular organ system involvement
✓Documentation of systemic complications beyond joint disease
✓Laboratory markers demonstrating systemic inflammation
✓Multi-disciplinary evaluations confirming organ involvement
✓Functional assessment of wrist mobility and hand function
✓Physician documentation establishing RA-systemic disease relationship

Commonly Confused Codes

M05.631 — Use for right wrist involvement specifically M05.639 — Use when wrist laterality is not documented M19.032 — Primary osteoarthritis of left wrist without RA M06.832 — Other specified RA of left wrist without organ involvement M25.532 — Pain in left 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 └M05.632Rheumatoid arthritis of left wrist with involvement of other organs and systems

└M05.632Rheumatoid arthritis of left wrist with involvement of other organs and systems