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.

M02.30Reiter's disease, unspecified site
M02.311Reiter's disease, right shoulder
M02.312Reiter's disease, left shoulder
M02.319Reiter's disease, unspecified shoulder
M02.321Reiter's disease, right elbow
M02.322Reiter's disease, left elbow
M02.329Reiter's disease, unspecified elbow
M02.331Reiter's disease, right wrist
M02.332Reiter's disease, left wrist
M02.339Reiter's disease, unspecified wrist
M02.341Reiter's disease, right hand
M02.342Reiter's disease, left hand
M02.349Reiter's disease, unspecified hand
M02.351Reiter's disease, right hip
M02.352Reiter's disease, left hip
M02.359Reiter's disease, unspecified hip
M02.361Reiter's disease, right knee
M02.362Reiter's disease, left knee
M02.369Reiter's disease, unspecified knee
M02.371Reiter's disease, right ankle and foot
M02.372Reiter's disease, left ankle and foot
M02.379Reiter's disease, unspecified ankle and foot
M02.38Reiter's disease, vertebrae
M02.39Reiter's disease, multiple sites
M04.1Periodic fever syndromes
M04.2Cryopyrin-associated periodic syndromes
M04.8Other autoinflammatory syndromes
M04.9Autoinflammatory syndrome, unspecified
M06.4Inflammatory polyarthropathy
M12.00Chronic postrheumatic arthropathy [Jaccoud], unspecified site
M12.011Chronic postrheumatic arthropathy [Jaccoud], right shoulder
M12.012Chronic postrheumatic arthropathy [Jaccoud], left shoulder
M12.019Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder
M12.021Chronic postrheumatic arthropathy [Jaccoud], right elbow
M12.022Chronic postrheumatic arthropathy [Jaccoud], left elbow
M12.029Chronic postrheumatic arthropathy [Jaccoud], unspecified elbow
M12.031Chronic postrheumatic arthropathy [Jaccoud], right wrist
M12.032Chronic postrheumatic arthropathy [Jaccoud], left wrist
M12.039Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist
M12.041Chronic postrheumatic arthropathy [Jaccoud], right hand
M12.042Chronic postrheumatic arthropathy [Jaccoud], left hand
M12.049Chronic postrheumatic arthropathy [Jaccoud], unspecified hand
M12.051Chronic postrheumatic arthropathy [Jaccoud], right hip
M12.052Chronic postrheumatic arthropathy [Jaccoud], left hip
M12.059Chronic postrheumatic arthropathy [Jaccoud], unspecified hip
M12.061Chronic postrheumatic arthropathy [Jaccoud], right knee
M12.062Chronic postrheumatic arthropathy [Jaccoud], left knee
M12.069Chronic postrheumatic arthropathy [Jaccoud], unspecified knee
M12.071Chronic postrheumatic arthropathy [Jaccoud], right ankle and foot
M12.072Chronic postrheumatic arthropathy [Jaccoud], left ankle and foot
M12.079Chronic postrheumatic arthropathy [Jaccoud], unspecified ankle and foot
M12.08Chronic postrheumatic arthropathy [Jaccoud], other specified site
M12.09Chronic postrheumatic arthropathy [Jaccoud], multiple sites
M30.0Polyarteritis nodosa
M30.2Juvenile polyarteritis
M30.8Other conditions related to polyarteritis nodosa
M31.5Giant cell arteritis with polymyalgia rheumatica
M31.6Other giant cell arteritis
M31.7Microscopic polyangiitis
M31.8Other specified necrotizing vasculopathies
M31.9Necrotizing vasculopathy, unspecified
M32.10Systemic lupus erythematosus, organ or system involvement unspecified
M32.11Endocarditis in systemic lupus erythematosus
M32.12Pericarditis in systemic lupus erythematosus
M32.13Lung involvement in systemic lupus erythematosus
M32.14Glomerular disease in systemic lupus erythematosus
M32.15Tubulo-interstitial nephropathy in systemic lupus erythematosus
M32.19Other organ or system involvement in systemic lupus erythematosus
M32.8Other forms of systemic lupus erythematosus
M32.9Systemic lupus erythematosus, unspecified
M35.2Behcet's disease