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M06.329

Billable

Rheumatoid nodule, unspecified elbow

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

A firm lump under the skin on the elbow caused by rheumatoid arthritis, side not specified.

Coding Tips

  • This unspecified code should be used only when elbow location is confirmed but side is unclear
  • Request clarification from the provider regarding laterality when possible

Clinical Significance

Rheumatoid nodule at unspecified elbow indicates extraarticular RA when laterality is not documented or bilateral involvement exists. This manifestation suggests more severe rheumatoid disease with systemic implications.

Documentation Requirements

  • Confirmed rheumatoid arthritis diagnosis
  • Physical examination documenting elbow nodule
  • Documentation that laterality is unspecified or bilateral
  • Nodule characteristics and examination findings
  • Assessment of elbow function and limitations
  • Laboratory evidence supporting RA diagnosis
  • Disease activity monitoring and assessment
  • Comprehensive RA management plan

Commonly Confused Codes

Code Hierarchy

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