M06.311
BillableRheumatoid nodule, right shoulder
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
A firm lump under the skin on the right shoulder caused by rheumatoid arthritis.
Coding Tips
- •Ensure laterality is clearly documented in the medical record before assigning right vs. left
- •Rheumatoid nodules commonly occur on pressure points and extensor surfaces
Clinical Significance
Rheumatoid nodule at the right shoulder indicates extraarticular RA manifestation with potential functional impairment. These nodules often occur at pressure points and correlate with more severe, seropositive rheumatoid disease.
Documentation Requirements
- ✓Established rheumatoid arthritis diagnosis
- ✓Physical examination confirming nodule at right shoulder
- ✓Specific laterality documentation (right side)
- ✓Nodule characteristics (firm, non-tender, subcutaneous)
- ✓Size and mobility assessment
- ✓Laboratory confirmation of RA (RF, anti-CCP positive typically)
- ✓Assessment of functional impact on shoulder mobility
- ✓Documentation of systemic RA treatment plan