HCC 94 (V28)
Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders
71 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overridden by: HCC 93 (Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders). If the patient also has one of these, only the higher HCC counts.
| M02.30 | Reiter's disease, unspecified site |
| M02.311 | Reiter's disease, right shoulder |
| M02.312 | Reiter's disease, left shoulder |
| M02.319 | Reiter's disease, unspecified shoulder |
| M02.321 | Reiter's disease, right elbow |
| M02.322 | Reiter's disease, left elbow |
| M02.329 | Reiter's disease, unspecified elbow |
| M02.331 | Reiter's disease, right wrist |
| M02.332 | Reiter's disease, left wrist |
| M02.339 | Reiter's disease, unspecified wrist |
| M02.341 | Reiter's disease, right hand |
| M02.342 | Reiter's disease, left hand |
| M02.349 | Reiter's disease, unspecified hand |
| M02.351 | Reiter's disease, right hip |
| M02.352 | Reiter's disease, left hip |
| M02.359 | Reiter's disease, unspecified hip |
| M02.361 | Reiter's disease, right knee |
| M02.362 | Reiter's disease, left knee |
| M02.369 | Reiter's disease, unspecified knee |
| M02.371 | Reiter's disease, right ankle and foot |
| M02.372 | Reiter's disease, left ankle and foot |
| M02.379 | Reiter's disease, unspecified ankle and foot |
| M02.38 | Reiter's disease, vertebrae |
| M02.39 | Reiter's disease, multiple sites |
| M04.1 | Periodic fever syndromes |
| M04.2 | Cryopyrin-associated periodic syndromes |
| M04.8 | Other autoinflammatory syndromes |
| M04.9 | Autoinflammatory syndrome, unspecified |
| M06.4 | Inflammatory polyarthropathy |
| M12.00 | Chronic postrheumatic arthropathy [Jaccoud], unspecified site |
| M12.011 | Chronic postrheumatic arthropathy [Jaccoud], right shoulder |
| M12.012 | Chronic postrheumatic arthropathy [Jaccoud], left shoulder |
| M12.019 | Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder |
| M12.021 | Chronic postrheumatic arthropathy [Jaccoud], right elbow |
| M12.022 | Chronic postrheumatic arthropathy [Jaccoud], left elbow |
| M12.029 | Chronic postrheumatic arthropathy [Jaccoud], unspecified elbow |
| M12.031 | Chronic postrheumatic arthropathy [Jaccoud], right wrist |
| M12.032 | Chronic postrheumatic arthropathy [Jaccoud], left wrist |
| M12.039 | Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist |
| M12.041 | Chronic postrheumatic arthropathy [Jaccoud], right hand |
| M12.042 | Chronic postrheumatic arthropathy [Jaccoud], left hand |
| M12.049 | Chronic postrheumatic arthropathy [Jaccoud], unspecified hand |
| M12.051 | Chronic postrheumatic arthropathy [Jaccoud], right hip |
| M12.052 | Chronic postrheumatic arthropathy [Jaccoud], left hip |
| M12.059 | Chronic postrheumatic arthropathy [Jaccoud], unspecified hip |
| M12.061 | Chronic postrheumatic arthropathy [Jaccoud], right knee |
| M12.062 | Chronic postrheumatic arthropathy [Jaccoud], left knee |
| M12.069 | Chronic postrheumatic arthropathy [Jaccoud], unspecified knee |
| M12.071 | Chronic postrheumatic arthropathy [Jaccoud], right ankle and foot |
| M12.072 | Chronic postrheumatic arthropathy [Jaccoud], left ankle and foot |
| M12.079 | Chronic postrheumatic arthropathy [Jaccoud], unspecified ankle and foot |
| M12.08 | Chronic postrheumatic arthropathy [Jaccoud], other specified site |
| M12.09 | Chronic postrheumatic arthropathy [Jaccoud], multiple sites |
| M30.0 | Polyarteritis nodosa |
| M30.2 | Juvenile polyarteritis |
| M30.8 | Other conditions related to polyarteritis nodosa |
| M31.5 | Giant cell arteritis with polymyalgia rheumatica |
| M31.6 | Other giant cell arteritis |
| M31.7 | Microscopic polyangiitis |
| M31.8 | Other specified necrotizing vasculopathies |
| M31.9 | Necrotizing vasculopathy, unspecified |
| M32.10 | Systemic lupus erythematosus, organ or system involvement unspecified |
| M32.11 | Endocarditis in systemic lupus erythematosus |
| M32.12 | Pericarditis in systemic lupus erythematosus |
| M32.13 | Lung involvement in systemic lupus erythematosus |
| M32.14 | Glomerular disease in systemic lupus erythematosus |
| M32.15 | Tubulo-interstitial nephropathy in systemic lupus erythematosus |
| M32.19 | Other organ or system involvement in systemic lupus erythematosus |
| M32.8 | Other forms of systemic lupus erythematosus |
| M32.9 | Systemic lupus erythematosus, unspecified |
| M35.2 | Behcet's disease |
