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M06.261

Billable

Rheumatoid bursitis, right knee

HCC Category Mapping

V28HCC 93Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175
V24HCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307
ESRDHCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000
RxHCCHCC 83Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000

What This Code Means

Inflammation of the fluid-filled sacs around the right knee joint caused by rheumatoid arthritis.

Coding Tips

  • Distinguish between rheumatoid bursitis and other knee conditions like effusion or synovitis
  • Document should specifically mention bursitis, not just knee pain or swelling

Clinical Significance

Rheumatoid bursitis of the right knee indicates RA-related inflammation of knee bursa affecting weight-bearing and mobility function. This diagnosis represents disease progression with extra-articular involvement requiring specialized management to maintain knee function and prevent disability.

Documentation Requirements

  • Established diagnosis of rheumatoid arthritis
  • Documentation of right knee bursitis secondary to RA
  • Physical examination findings of knee bursal inflammation
  • Assessment of right knee range of motion and stability
  • Evidence linking bursitis to underlying inflammatory arthritis
  • Treatment with local or systemic anti-inflammatory therapy
  • Functional assessment including weight-bearing capacity
  • Exclusion of septic bursitis or other knee pathology

Commonly Confused Codes

Code Hierarchy

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