M06.28

Billable

Rheumatoid bursitis, vertebrae

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

Inflammation of the fluid-filled sacs (bursae) around the spine bones caused by rheumatoid arthritis.

Coding Tips

•This code is specific to vertebral bursitis; ensure documentation clearly indicates spinal involvement
•Verify that rheumatoid arthritis is confirmed before coding this manifestation

Clinical Significance

Rheumatoid bursitis of vertebrae indicates RA-related inflammation of spinal bursa, representing serious extra-articular manifestation with potential for neurologic complications. This diagnosis requires specialized management to monitor for spinal instability and preserve neurological function.

Documentation Requirements

✓Established diagnosis of rheumatoid arthritis
✓Documentation of vertebral bursitis secondary to RA
✓Imaging evidence of spinal bursal inflammation (MRI, CT)
✓Clinical assessment for spinal symptoms and neurologic signs
✓Evidence linking spinal bursitis to underlying RA
✓Neurological examination findings
✓Treatment plan addressing both local and systemic disease
✓Assessment for atlantoaxial instability or other complications

Commonly Confused Codes

M46.90 — Unspecified inflammatory spondylopathy M48.1 — Ankylosing hyperostosis M47.896 — Other spondylosis, lumbar region M45.9 — Ankylosing spondylitis, unspecified M50.30 — Other cervical disc degeneration, unspecified cervical region

Code Hierarchy

└M06Other rheumatoid arthritis └M06.2Rheumatoid bursitis └M06.28Rheumatoid bursitis, vertebrae

└M06.28Rheumatoid bursitis, vertebrae