M05.651
BillableRheumatoid arthritis of right hip 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 right hip with systemic complications involving other organs or body systems.
Coding Tips
- •Confirm right hip is the affected site; this code includes extra-articular manifestations requiring documentation of involved organs.
- •Consider if patient has bilateral hip involvement; if so, code both M05.651 and M05.652 separately.
Clinical Significance
This code represents severe systemic rheumatoid arthritis affecting the right hip with extra-articular manifestations, indicating advanced disease requiring intensive management. The systemic involvement significantly increases patient morbidity, mortality risk, and healthcare resource utilization beyond simple joint disease.
Documentation Requirements
- ✓Confirmation of rheumatoid arthritis diagnosis in the right hip joint
- ✓Documentation of specific organ system involvement (cardiovascular, pulmonary, renal, ocular, etc.)
- ✓Evidence of systemic manifestations such as rheumatoid nodules, vasculitis, or organ dysfunction
- ✓Laboratory evidence supporting RA diagnosis (RF, anti-CCP, inflammatory markers)
- ✓Clinical assessment of disease activity and functional impact
- ✓Documentation of specific affected organs or systems beyond joints
- ✓Evidence that the systemic involvement is related to the rheumatoid arthritis
Commonly Confused Codes
M05651 vs M05.651 without systemic involvement — This code specifically requires organ/system involvement beyond jointsM05651 vs M06.9 — M06.9 is unspecified rheumatoid arthritis without the systemic component requirementM05651 vs M79.3 — M79.3 is panniculitis, not rheumatoid arthritis with systemic involvementM05651 vs M05.40 — M05.40 is rheumatoid myopathy without specified joint locationM05651 vs M25.551 — M25.551 is pain in right hip, not rheumatoid arthritis
Code Hierarchy
└M05Rheumatoid arthritis with rheumatoid factor└M05.6Rheumatoid arthritis with involvement of other organs and systems└M05.65Rheumatoid arthritis of hip with involvement of other organs and systems└M05.651Rheumatoid arthritis of right hip with involvement of other organs and systems
└M05.651Rheumatoid arthritis of right hip with involvement of other organs and systems