M06.249
BillableRheumatoid bursitis, unspecified hand
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
Inflammation of the fluid-filled sacs (bursae) around the joints in the hand due to rheumatoid arthritis, when it's unclear which hand is affected.
Coding Tips
- •Use this code only when the specific hand (right or left) cannot be determined from documentation
- •Verify if rheumatoid arthritis diagnosis is documented before coding rheumatoid bursitis
Clinical Significance
Rheumatoid bursitis of unspecified hand indicates RA-related bursal inflammation without documented laterality. This diagnosis represents extra-articular manifestation requiring ongoing management with focus on maintaining hand function and preventing progressive deformity in rheumatoid arthritis patients.
Documentation Requirements
- ✓Established rheumatoid arthritis diagnosis
- ✓Documentation of hand bursitis secondary to RA
- ✓Clinical evidence of bursal inflammation without specified laterality
- ✓Physical examination findings supporting hand bursitis diagnosis
- ✓Assessment of bilateral hand function and comparison
- ✓Treatment with RA-appropriate medications and therapies
- ✓Evidence supporting RA as underlying inflammatory cause
- ✓Functional impact assessment on hand activities
Commonly Confused Codes
Code Hierarchy
└M06Other rheumatoid arthritis└M06.2Rheumatoid bursitis└M06.24Rheumatoid bursitis, hand└M06.249Rheumatoid bursitis, unspecified hand
└M06.249Rheumatoid bursitis, unspecified hand